Provider First Line Business Practice Location Address:
HOSPITAL SAN LUCAS I
Provider Second Line Business Practice Location Address:
CALLE GUADALUPE FINAL - BOX 2027
Provider Business Practice Location Address City Name:
PONCE
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00731
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-848-4777
Provider Business Practice Location Address Fax Number:
787-848-4777
Provider Enumeration Date:
08/03/2005