Provider First Line Business Practice Location Address:
HOSPITAL PAVIA
Provider Second Line Business Practice Location Address:
CALLE PROFESOR AUGUSTO # 1462
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00910-0000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-641-1616
Provider Business Practice Location Address Fax Number:
787-728-2641
Provider Enumeration Date:
12/29/2005