Provider First Line Business Practice Location Address:
909 AVE TITO CASTRO SAINT LUKES MEMORIAL HOSPITAL INC
Provider Second Line Business Practice Location Address:
SECOND FLOOR IN FRONT OF OR
Provider Business Practice Location Address City Name:
PONCE
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00716-4717
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-844-2080
Provider Business Practice Location Address Fax Number:
787-840-5390
Provider Enumeration Date:
03/18/2008