Provider First Line Business Practice Location Address:
1 DEPT. DE SALUD, CENTRO MEDICO
Provider Second Line Business Practice Location Address:
ANTIGUO HOSPITAL DE PSIQUIATRIA, PABELLON #3
Provider Business Practice Location Address City Name:
RIO PIEDRAS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00922
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-274-5680
Provider Business Practice Location Address Fax Number:
787-282-7274
Provider Enumeration Date:
08/14/2008