Provider First Line Business Practice Location Address:
AVE. KENNEDY # 18 CARR. # 2 KM 141.10
Provider Second Line Business Practice Location Address:
HOSPITAL BUEN SAMARITANO (1ST FLOOR)
Provider Business Practice Location Address City Name:
AGUADILLA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00603-0000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-819-1215
Provider Business Practice Location Address Fax Number:
787-819-1215
Provider Enumeration Date:
01/19/2007