Provider First Line Business Practice Location Address:
HOSPITAL WILMA VAZQUEZ CARR 2 K.M 39.5
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
VEGA BAJA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00676-9998
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-519-5693
Provider Business Practice Location Address Fax Number:
787-650-4246
Provider Enumeration Date:
07/16/2010