Provider First Line Business Practice Location Address:
HOSPITAL HIMA SAN PABLO EDIF ARTURO CADILLA
Provider Second Line Business Practice Location Address:
OFIC 403A
Provider Business Practice Location Address City Name:
BAYAMON
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00956
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-288-8147
Provider Business Practice Location Address Fax Number:
787-785-6214
Provider Enumeration Date:
12/22/2006