Provider First Line Business Practice Location Address:
SAN JORGE ST
Provider Second Line Business Practice Location Address:
SAN JORGE CHILDRENS HOSPITAL (ER) #258
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00912
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-727-5555
Provider Business Practice Location Address Fax Number:
787-728-5773
Provider Enumeration Date:
07/26/2006