Provider First Line Business Practice Location Address:
PONCE DE LEON AVE. , AUXILIO MUTUO HOSPITAL
Provider Second Line Business Practice Location Address:
TRANSPLANT OFFICE , 2ND. FLOOR
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00919-1227
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-754-4911
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/03/2006