Provider First Line Business Practice Location Address:
300 AVE FONT MARTELO
Provider Second Line Business Practice Location Address:
HOSPITAL ORIENTE
Provider Business Practice Location Address City Name:
HUMACAO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00791-3230
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-852-0505
Provider Business Practice Location Address Fax Number:
787-852-0515
Provider Enumeration Date:
08/17/2005