Provider First Line Business Practice Location Address:
917 AVE TITO CASTRO
Provider Second Line Business Practice Location Address:
HOSPITAL EPISCOPAL SAN LUCAS DPTO MEDICINA INTERNA
Provider Business Practice Location Address City Name:
PONCE
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00730
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-844-2080
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/14/2018