Provider First Line Business Practice Location Address:
AVE LAUREL SANTA JUANITA
Provider Second Line Business Practice Location Address:
HOSP DR RAMON RUIZ ARNAU
Provider Business Practice Location Address City Name:
BAYAMON
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00920-3860
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
178-778-6362
Provider Business Practice Location Address Fax Number:
787-781-8129
Provider Enumeration Date:
06/08/2007