Provider First Line Business Practice Location Address:
EDIF. SAN JUAN HEALTH CENTRE
Provider Second Line Business Practice Location Address:
150 AVE. DE DIEGO
Provider Business Practice Location Address City Name:
SAN JUAN PR
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00907
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-725-8073
Provider Business Practice Location Address Fax Number:
787-725-1721
Provider Enumeration Date:
07/10/2023