Provider First Line Business Practice Location Address:
SAN JUAN HEALTH CTR
Provider Second Line Business Practice Location Address:
DE DIEGO AND BALDORIOTY AVE. #150, SUITE 703
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00907-2300
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-724-5155
Provider Business Practice Location Address Fax Number:
787-724-5167
Provider Enumeration Date:
03/05/2007