Provider First Line Business Practice Location Address:
CARR 2 # 32 PONCE
Provider Second Line Business Practice Location Address:
HOSPITAL DAMAS
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:
787-844-1520
Provider Business Practice Location Address Fax Number:
787-842-1522
Provider Enumeration Date:
10/24/2007