Provider First Line Business Practice Location Address:
VA CARIBBEAN HEALTHCARE SYSTEM
Provider Second Line Business Practice Location Address:
#10 CASIA
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00921-3201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-641-7582
Provider Business Practice Location Address Fax Number:
787-641-9518
Provider Enumeration Date:
10/03/2006