Provider First Line Business Practice Location Address:
VA CARIBBEAN HEALTHCARE SYSTEM
Provider Second Line Business Practice Location Address:
10 CALLE 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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-641-3693
Provider Business Practice Location Address Fax Number:
787-641-4568
Provider Enumeration Date:
05/18/2006