Provider First Line Business Practice Location Address:
CENTRO MEDICO- HOSP MUNICIPAL SAN JUAN 4TO PISO
Provider Second Line Business Practice Location Address:
BARRIO MONACILLOS
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00936-8344
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-480-2762
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/21/2016