Provider First Line Business Practice Location Address:
HOSP. RAMON RUIZ ARNAU AVE. LAUREL
Provider Second Line Business Practice Location Address:
ESQUINA POWELL, SANTA JUANITA
Provider Business Practice Location Address City Name:
BAYAMON
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00960-6032
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-798-3001
Provider Business Practice Location Address Fax Number:
787-269-7550
Provider Enumeration Date:
08/19/2010