Provider First Line Business Practice Location Address:
STATE ROAD # 787 KM. 1.5
Provider Second Line Business Practice Location Address:
FIRST HOSPITAL PANAMERICANO
Provider Business Practice Location Address City Name:
CIDRA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00739-1400
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-739-8075
Provider Business Practice Location Address Fax Number:
787-739-5544
Provider Enumeration Date:
05/04/2006