Provider First Line Business Practice Location Address:
HOSPITAL LA CONCEPCION CARR # 2 KM.173.4 2ND FLOOR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN GERMAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00683
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-892-6972
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/20/2006