Provider First Line Business Practice Location Address:
HOSPITAL WILMA N VAZQUEZ
Provider Second Line Business Practice Location Address:
CARR 2 KM 39.5 SUITE 105
Provider Business Practice Location Address City Name:
VEGA BAJA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00693-4140
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-855-9281
Provider Business Practice Location Address Fax Number:
787-807-6439
Provider Enumeration Date:
07/19/2006