Provider First Line Business Practice Location Address:
ADMINISTRACION DE SERVICIOS MEDICOS DE PR
Provider Second Line Business Practice Location Address:
UPR-RADIOLOGIA, CARR. 22, BO. MONACILLOS
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00935
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-777-3535
Provider Business Practice Location Address Fax Number:
787-777-3855
Provider Enumeration Date:
08/01/2005