Provider First Line Business Practice Location Address:
GOV JUAN LUIS HOSPITAL & MEDICAL CENTER
Provider Second Line Business Practice Location Address:
4007 DIAMOND RUBY
Provider Business Practice Location Address City Name:
CHRISTIANSTED
Provider Business Practice Location Address State Name:
VI
Provider Business Practice Location Address Postal Code:
00820
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
340-772-7304
Provider Business Practice Location Address Fax Number:
340-772-7483
Provider Enumeration Date:
03/07/2006