Provider First Line Business Practice Location Address:
PREMIER MEDICAL CENTER, BOULEVARD DEL RIO AVE
Provider Second Line Business Practice Location Address:
TORRE 3 LOCAL A
Provider Business Practice Location Address City Name:
HUMACAO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00791
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-656-2727
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/19/2018