Provider First Line Business Practice Location Address:
AVENIDA LAS AMERICAS
Provider Second Line Business Practice Location Address:
PISO # 1 HOSPITAL METROPOLITANO DR. PILA
Provider Business Practice Location Address City Name:
PONCE
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00731
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-848-5600
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/23/2011