Provider First Line Business Practice Location Address:
CENTRO AMBULATORIO HIMA-SAN PABLO
Provider Second Line Business Practice Location Address:
AVE. MUNOZ RIVERA A-1
Provider Business Practice Location Address City Name:
CAGUAS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00725
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-704-3434
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/09/2006