Provider First Line Business Practice Location Address:
715 AVE. PONCE DE LEON, PARADA 37 1/2
Provider Second Line Business Practice Location Address:
HOSPITAL AUXILIO MUTUO
Provider Business Practice Location Address City Name:
HATO REY
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00918
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-758-2000
Provider Business Practice Location Address Fax Number:
787-771-7917
Provider Enumeration Date:
04/09/2018