Provider First Line Business Practice Location Address:
BARRIO MONACILLOS , CENTRO MEDICO DE PUERTO RICO
Provider Second Line Business Practice Location Address:
HOSPITAL SAN JUAN
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00926
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-250-8449
Provider Business Practice Location Address Fax Number:
787-250-8449
Provider Enumeration Date:
05/11/2007