Provider First Line Business Practice Location Address:
PASEO JOSE C. BARBOSA
Provider Second Line Business Practice Location Address:
BO MONACILLO CTRO. CARDIOVASCULAR DE PR Y EL CARIBE STE
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:
787-754-8500
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/21/2014