Provider First Line Business Practice Location Address:
HOSPITAL ANDRES GRILLASCA, INC.
Provider Second Line Business Practice Location Address:
BO. MACHUELO AVE. TITO CASTRO CARR. 14
Provider Business Practice Location Address City Name:
PONCE
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00717
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-843-5073
Provider Business Practice Location Address Fax Number:
787-843-2310
Provider Enumeration Date:
08/22/2007