Provider First Line Business Practice Location Address:
CENTRO SALUD MENTAL, SAN JUAN BAUTISTA MEDICAL CENTER
Provider Second Line Business Practice Location Address:
CALL BOX 4964
Provider Business Practice Location Address City Name:
CAGUAS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00726-4964
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-653-0550
Provider Business Practice Location Address Fax Number:
787-653-0525
Provider Enumeration Date:
12/21/2006