Provider First Line Business Practice Location Address:
PASEO ADRIAN ACEVEDO (HOSPITAL)
Provider Second Line Business Practice Location Address:
CARR. 119, KM.27.4
Provider Business Practice Location Address City Name:
LAS MARIAS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00670
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-827-5852
Provider Business Practice Location Address Fax Number:
787-827-5852
Provider Enumeration Date:
01/25/2007