Provider First Line Business Practice Location Address:
A 1 MUNOZ RIVERA SUITE 302
Provider Second Line Business Practice Location Address:
HIMA SURGICENTER
Provider Business Practice Location Address City Name:
CAGUAS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00726-0870
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-744-3087
Provider Business Practice Location Address Fax Number:
787-746-4840
Provider Enumeration Date:
08/31/2006