Provider First Line Business Practice Location Address:
AVENIDA LAUREL #100 SANTA JUANITA
Provider Second Line Business Practice Location Address:
UNIVERSITY HOSPITAL 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:
00956
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-787-5151
Provider Business Practice Location Address Fax Number:
787-787-8484
Provider Enumeration Date:
11/02/2006