Provider First Line Business Practice Location Address:
1451 AVENIDA ASHFORD
Provider Second Line Business Practice Location Address:
RADIOLOGY DEPARTMENT FIRST FLOOR
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00907-1511
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-725-5955
Provider Business Practice Location Address Fax Number:
787-725-5955
Provider Enumeration Date:
10/19/2005