Provider First Line Business Practice Location Address:
HOSPITAL UPR #3 STREET KM 8.3
Provider Second Line Business Practice Location Address:
65 INFANTERY AVE
Provider Business Practice Location Address City Name:
CAROLINA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00984-6021
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-757-1800
Provider Business Practice Location Address Fax Number:
787-750-0215
Provider Enumeration Date:
02/07/2007