puerto rico rural health care pilot program wc docket …puerto rico rural health care pilot program...
Post on 06-Mar-2018
220 Views
Preview:
TRANSCRIPT
Puerto Rico
Rural Health Care Pilot Program
WC Docket No. 02-60
Puerto Rico Department of Health San Juan, Puerto Rico
Submitted to:
Telecommunications Access Policy Division Wireline Competition Bureau
Federal Communications Commission 445 12th Street, SW, Washington, DC 20554
Erika Olsen erika.olsen@fcc.gov
Thomas Buckley thomas.buckley@fcc.gov Jeremy Marcus jeremy.marcus@fcc.gov
Submitted by: Olga Valentin
Informatics Office Puerto Rico Health Department
PO Box 70184 San Juan, PR 00936
(787)765-2929 ovalentin@salud.gov.pr
Organization
2
The Puerto Rico Health Department (PRHD) is committed to the development and implementation of health information systems that facilitate health information exchange; it is legally and financially responsible for the implementation of a point-to-point communication network from its remote healthcare facilities to it’s centralize computer center, Informatics Office, Oficina de Informática y Avances Tecnológicos (OIAT), with the objective to provide more efficient and effective health information exchange. PRDH’s Mission
To promote and to conserve health as an indispensable right of every individual to enjoy life and thus, contribute to the productivity and creativity effort of our society.
PRDH’s Vision
The Department of Health embraces the commitment and privilege as the public organization responsible for the implementation of mechanisms and healthcare services centered around the individual’s daily routine, exempt of political bias, with emphasis on prevention. It is committed to transforming the quality of the services to ones of excellence through physical and human resources; founded on the commitment, respect and responsibility with sensitivity to life and human integrity.
Only the highest principles of scientific and human ethics will serve to guide and inspire new and innovate ways that guarantee the citizen’s right to services of health of unquestionable excellence.
By fortifying and stimulating the emotional and physical well-being of our citizens we will contribute directly to our society’s fulfillment with humility and thus work to respond to ours institutional duty and public obligation.
Objectives The PRDH’s goal is to continue to create a solid foundation for a communication network throughout all the service provider locations, thus increase the feasibility of health information exchange, including a telemedicine project. By creating an effective communication network the following objectives will be achieved: • Provide access to central data sources, such the Hospital Information System and
Electronic Medical Record, (HIS/EMR), implemented at 22 publicly operated facilities • Facilitate healthcare provider access to telecommunication necessary to provide
remote access to Electronic Medical Records across providers • Provide a dedicated and secure communication line to send protected health
information • Provide the network with communication redundancy for continuous access to the
healthcare information
3
• Provide access to central data source, such the Data Warehouse, which consolidates data from several local Department of Health Registries
• Facilitate communication between programs via E-mail • Provide internet access to healthcare providers to facilitate access to medical
resources and eligibility verification services. • Facilitate the necessary infrastructure for a Telemedicine Project, including secure
communication and access to the patient’s electronic medical record Scope In 2003, the PRDH was fortunate to receive funding from the local government to design, develop and implement Integrated Health Information System, consisting of seven health information initiatives. The Integrated Health Information System aims to provide integrated solutions to automate various health information exchanges. It includes Hospital Information System/Electronic Medical Record (HIS/EMR), Encounter System for Healthcare Professional providing service for the government funded insurance (Encounter), SmartCard (TI), New Medicare Program Eligibility System (New SAM), Data Warehouse (DW), Telemedicine (Telemed), and Call Center (CC), and Infrastructure for Data Center. As part of the Integrated Health Information System funding, the PRHD received funding for the implementation of the infrastructure necessary to improve the security and capacity of the centralized data center with the aim to support access from remote programs and healthcare provider locales. The improvements to the Data Center included a new electricity generator, and electricity backup systems. New security software was implemented, including Firewall, Anti-Virus, and Monitoring software. Initially, the primary focus of this network was to provide access to two major systems, the public health insurance eligibility system, Eligibility System throughout approximately 90 offices, and the Hospital Information System and Electronic Medical Record, HIS/EMR, throughout thirty-four healthcare facilities. Currently, the HIS/EMR has been successfully implemented at twenty two facilities throughout Puerto Rico. Dedicated communication lines were implemented between remote site and the Data Center. Other programs located in the proximities of these programs were also provided with connectivity to the network, for example Demographic Registry, Women, Children and Infant Program, Immunization Programs. Most participants were given access an electronic mail address and access to internet, as per the definition of their roles and responsibilities. The purpose of this proposal is for the PRDH to continue to maintain and expand the communication network foundation to provide healthcare providers access to the centralized data sources, such as the Eligibility System, HIS/EMR and the Data Warehouse, PRHD internal portal, PRHD WebPage, other Health related Web sources, email, as well as establish a network monitoring system and redundancy in communications. With the additional funding, the PRHD plans to:
4
• Extend its communication network to the supra-tertiary Medical Campus of the PRDH, composed of the following three public hospitals: the University District Hospital, the Pediatrics Hospital, and the Puerto Rico Medical Services Administration (ASEM) to facilitate several health information exchange initiatives. These hospitals have their own communication infrastructure and are part of the PRDH organization; however communication among the entity must be optimized to facilitate projects such as Telemedicine, and a shared Continuity of Care Record or Electronic Medical Record.
• Continue to add participants to the HIS/EMR Project. Currently there are 22 facilities implemented and the goal is to implement 34 facilities. The initially funding provides for the maintenance of the communication lines for the first three years. Most of the facilities have been implemented for at least one year. Additional funding to maintain the communication lines must be identified.
• Extend its communication network to other programs, in particular, the Demographic Registry Offices, Mental Retardation Program, the Health Prevention, Promotion and Protection Program, and Primary Healthcare Regional Offices.
• Add communication line redundancy to the HIS/EMR and Eligibility Project participants.
• Extend its communication network to remote executive and administrative users of other centralized data source, such as the new Data Warehouse Project, which provides aggregate information necessary to offer population-based medicine. The PRDH Data Warehouse includes information from the Demographic Registry, the Women Infant Children Program (WIC), Immunization, the public hospital HIS/EMR system, and public insurance claims.
Management Team The project is managed by the Sub secretary of Health, Acting Director of Informatics, Program Staff (e.g., public health advisor, epidemiologist, public health nurse, and health educators), information systems staff, and consultants. The network central data center is located in the PRHD Informatics Office, OIAT. Below you will find a diagram of the current network designed. Target Population The PRHD has the responsibility to generate and enforce public health policies for the entire island, provides health insurance for approximately half the population, provides primary healthcare services, and operates the only supra tertiary healthcare center. As a result, the effects of the proposed initiatives are intended to have a positive impact on the entire island population, although initially the impact is directed at services provided to the medical indigent.
5
Current Infrastructure The PRHD network provides connectivity to the following programs and office: • Physician Directory • Healthcare Profession Directory • SARAF (Healthcare Provider Licensing Agency) • Administration • Immunization • Environmental Health • Hospital Information System/Electronic Medical Record • Medicare Program • Women, Infants and Children • Demographic Registry • Mental Retardation Program • Health Promotion, Prevention and Protection Program The PRDH intends to expand the network of the following programs or facilities: Medicare Program, Demographic Registry, Primary Care Facilities, and the supra tertiary Medical Center. To follow a diagram of the current PRDH network infrastructure for the Medicare Program network. It only depicts one remote site of the participating 90 sites. There is a dedicated T1 communication line between the remote sites and the Data Center. There are ten sites with redundant T1 communication lines.
6
To follow a diagram of the current PRDH network infrastructure for the HIS/EMR Project. It only depicts three remotes sites of the participating 22 sites. There is a dedicated T1 communication line between the remote sites and the Data Center. There are three sites with redundant T1 communication lines.
7
To follow a diagram of the current PRDH network infrastructure for the Demographic Registry Office network. It only depicts one remotes sites of the participating 85 sites. These offices are usual located in the same building as the HIS/EMR and/or the Medicare Program facilities, and thus use the dedicated T1 communication line between the HIS/EMR or Medicare Program sites and the Data Center.
8
To follow a diagram of the current PRDH network infrastructure for the Women, Infant and Children Program network. It only depicts the communication network for the regional and local program offices. There is a immanent need to upgrade the telecommunication infrastructure of these facilities because it does not meet code.
9
The PRHD has contracted two telecommunication companies for the installation of the communication lines. It aim to supply redundant communication, one from each vendor, but telecommunications services are not available by both vendors throughout Puerto Rico. Telemedicine Experience The PRHD conducted a pilot project between the Vieques’ Center for Disease and Treatment (CDT) Susana Centeno facility and Puerto Rico Medical Services Administration (ASEM) in 2002. This project was limited to Radiology images, where the remote facility, the CDT Susana Centeno, would send Radiology images to be read at the Puerto Rico Medical Services Administration facility. The program equipment was also used to facilitate videoconferencing between the two facilities. There was a significant saving in patient travel expense and an increase in turn around time of results. Most patients, requiring Radiology services, were historical escorted by helicopter to ASEM. The program has been limited due to contractual issues with the billing process of these services by the hospital institution providing the services. There is a TeleMedicine committee reviewing the lesson learned of the pilot project and developing a plan to continue the TeleMedicine initiative. It is an essential component to the healthcare system, because it minimizes patient transportation issues. Patients often are faces with limited access to transportation, especially for specialized service located only the metropolitan centers.
10
During this exercise one of the lessons learned was the need to provide the consulting physician access to the patient’s medical. In order to provide this functionality, connectivity amongst facilities and the central data center must be established. The Telemedicine committee, consisting of 11 members of the healthcare community, and directed the Secretary of Health, is addressing necessary legal and policy issues to facilitate Telemedicine. A Telemedicine regulation was written and approved. Other issues deferring the development of a strong Telemedicine initiative are liability issues, insurance coverage and billing procedures. One of the recommendations of the Telemedicine committee to the PRHD and a new PRHD objective is to develop a strong communication infrastructure, as an initially step to several health information exchange projects, recognizing the importance of establishing remote access to an electronic medical record, as a precursor to implementing a Telemedicine Project, to provide the consulting physicians with the patient history, recent diagnosis, and tests results, in order to complement the evaluation. Assumptions:
The following assumptions have been made for this phase of the project: • The PRHD will continue to implement additional participants to the HIS/EMR
project • The PRDH will implement new communication facilities to the remain
Demographic Registry Offices • The PRDH will have the necessary funds to implement redundant communication
lines for the HIS/EMR and the Medicare Program offices. • The PRDH will have the necessary funds to implement redundant communication
lines for the HIS/EMR and the Medicare Program offices. • The PRDH will have the necessary funds to implement communication facilities
at the Primary Healthcare Regional Offices. • The PRDH will implement a Call Center and Enterprise Management technology
concurrently to expanding its network to facilitate providing technological support and preventive maintenance.
Work Breakdown Structure:
The following itinerary is for the implementation of the additional HIS/EMR participants:
WBS Activities Month 1
Month 2
Month 3
Month 4
Month 5
Month 6
1 Agreement Letter for New Participants
1.1 Request signature from Secretary of Health
11
1.2 Meet with each facility administration to discuss agreement letter
1.3 Receipt of signed agreement letter 2 Communication lines
2.1 Send T1 line installation request to communication company
2..2 Coordinate installation with communication company, OIAT and facility
Install T1 communication line
2.3 Verify communication has been established between facility and network
3 Computer equipment for facilities 3.1 Order PCs and peripherals 3.2 Deployment of equipment to facilities 3.3 Install equipment in facilities 3.4 Connect equipment to network 4 Access to network
4.1 Request information from providers to create account in HIS
4.2 Collect providers' information 4.3 Create account HIS account
4.4 Provide access to network, Internet and email account
5 Health Information Software 5.1 Install health information software
5.2 Enter data into the health information software
5.3 Coordinate training and Go-live date 5.4 Train healthcare facility staff
5.5 Go-live and provide 24 hours technological support
The following itinerary is for the implementation of the additional Demographic Registry Offices, the Primary Healthcare Regional Office, and the redundancy of the HIS/EMR and Medicare Program participants:
WBS Activities Month 7
Month 8
Month 9
Month 10
Month 11
Month 12
6 Communication lines
6.1 Send T1 line installation request to communication company
12
6.2 Coordinate installation with communication company, OIAT and facility
6.3 Install T1 communication line
6.4 Verify communication has been established between facility and network
7 Computer equipment for facilities 7.1 Order PCs and peripherals 7.2 Deployment of equipment to facilities 7.3 Install equipment in facilities 7.4 Connect equipment to network 8 Access to network
8.1 Request information from providers to create account in HIS
8.2 Collect providers' information 8.3 Create account HIS account
8.4 Provide access to network, Internet and email account
Milestones:
The milestones for the network expansion project are: • Letter of agreements are signed • T1 line is installed and connected to the network • Equipment is received at the facilities • The facility provides their information to be entered into the health information
system • Facility personnel is trained in the HIS/EMR
Projected Costs and Resource Requirements: The PRDH estimates for the next fiscal year a cost of $5,107,557 for communications lines installation and equipment, and communication lines services fees. If all new installations are completed, the recurring cost for the communications lines will be $3,567,783 (see Appendix F for details). Current Costs Additional Costs Recurring Costs Communication Lines $1,056,226 $2,511,557 $3,567,783New Installations $0 $488,200 $0Equipment $0 $2,107,776 $0
Subtotal $1,056,226 $5,107,533 $3,567,783 Currently, all project’s participants are non-profit providers; the participant providers are associated to the PRDH. The future participants will also be non-profit providers. The PRDH absorbs all the telecommunication costs for providers who participate in the
13
project. Financial support for the project comes from assigned state and federal funds of participating programs (see Appendix B): State Fund 111, State Collection Fund 297 & 410, State Fund 571, and, Federal Fund 272. The PRDH provides the telecommunication service as part of their program thus no revenues are collected from this public service. Currently, access to neither the network nor the data in the centralized database is sold. List of current participants
Data was unavailable on the Rural Urban Commuting Area (RUCA) code for Puerto Rico; according to the Rural Health Research Center the data for Puerto Rico is under analysis and construction, to review the information log on to http://depts.washington.edu/uwruca/index.html. Medicare Program Offices There are currently 90 Medicare Program Offices on the network (see Appendix C for listing). Demographic Registry There are currently 85 Demographic Registry Program Offices on the network (see Appendix D for listing). These office use the communication line installed by the Medicare Program offices or the HIS/EMR facilities ASEM Administración de Servicios Médicos de Puerto Rico Centro Médico de Puerto Rico Bo. Bonacillos Ave. Américo Miranda, Rept. Metropolitano Río Piedras, PR 00935 787-754-0101 Centro Pediátrico Dr. Antonio Ortiz Hospital Universitario Centro Médico de Puerto Rico Ave. Américo Miranda, Rept. Metropolitano Río Piedras, PR 00919 787-777-3535 Hospital San Juan Centro Médico de Puerto Rico Bo. Monacillos San Juan, PR 00936 787-766-2222 University District Hospital Centro Médico de Puerto Rico
14
Carr 22 Bo. Monacillos Río Piedras, PR 00935 787-777-3535 Centro Cardiováscular de Puerto Rico Centro Médico de Puerto Esquina Ave. Américo Miranda Río Piedras,PR 00924 787-754-8500 Center for Diagnosis and Treatment The following list of 22 healthcare facilities of non-profit providers associated to the PRDH currently participate in the network; we have included the address, zip code, and phone number for each healthcare facility participating in the network: Rincón Medical Center Car. Estatal 115 Km. 31.1 Bo. Pueblo Rincón, PR 00677 (787) 823-0909 Servicios Médicos de Añasco Car. 402 Km. 1.8 Bo. Las Marías Añasco, PR 00610 (787) 826-2888 Centro Isabelino de Medicina Avanzada Ave. Agustín Ramos Calero Interior Car. 112, Km. 1.4 Isabela, PR 00662 (787) 830-2705 Hospital Universitario Dr. Ramón Ruiz Arnau Ave. Laurel #100, Bo. Santa Juanita Bayamón, PR 00956 (787) 787-5151 Centro de Salud Familiar Susana Centeno Car. 997 Km. 0 Hm. 1 Bo. Destino Vieques, PR 00765 (787) 741-0392 Centro de Salud Comunal de Culebra Calle William Font Final Culebra, PR 00775 (787) 742-0001
15
Policlínica Familiar Bernice Guerra 301 Ave. 5 de Diciembre Car. 102 Km. 39.1 Sabana Grande, PR 00637 (787) 873-1755 Centro de Diagnóstico y Tratamiento de Guayanilla Calle José de Diego #13 Guayanilla, PR 00656 (787) 835-4254 Centro Servicios de Salud Juan M. Santiago Car. Ramal 116 Km. 2.2 Guánica, PR 00653 (787) 821-0402 Centro de Tratamiento y Diagnóstico de Adjuntas Calle Dr. Defendini #4 Adjuntas, PR 00601 (787) 829-2860 Hospital Mario Canales Torresola Calle Cementero # 2 Car. Estatal #144 al lado casa Alcaldía Jayuya, PR 00664 (787) 828-9164 Centro de Salud Familiar Santa Isabel Car. 153 Calle Hostos Final #89 Santa Isabel, PR 00757 (787) 845-5050 Centro de Salud Familiar Yabucoa Car. 901 Calle Santurino Rodríguez #100 Yabucoa, PR 00767 (787) 893-0480 Centro de Salud Maunabo Ave. Kennedy Apartado 8 Maunabo, PR 00707 (787) 861-1407 Centro de Servicios Primarios de Salud de Patillas Inc. Calle Guillermo Riefkhol #99 Patillas, PR 00723
16
(787) 839-4446 Centro de Salud Hernán Chico Car. 31 Km. 4.0 Naguabo, PR 00718 (787) 874-2837 Centro de Diagnóstico y Tratamiento Las Piedras Ave. José Celso Barbosa #63 Las Piedras, PR 00771 (787) 733-5063 Vega Alta Community Health Car. #2 Km. 31.9 Bo. Bajura Vega Alta, PR 00692 (787) 883-6728 Dorado Community Health Car. # 698 Bo. Mameyal Dorado, PR 0646 (787) 796-3330 Vega Baja Community Health Car. #2 Km. 37.1 Ave. Villa Pinares #81 Vega Alta, PR 00963 Comerío Medical Hospital Car. 778 Km. 0.9 Comerio, PR 00782 (787) 875-3136 Centro de Diagnóstico y Tratamiento Dr. Jorge Franceschi Calle Sergio Peña Almodóvar Esq. Flor Gerena Humacao, PR 00791 (787) 852-8730 List of future participants
Data was unavailable on the Rural Urban Commuting Area (RUCA) code for Puerto Rico; according to the Rural Health Research Center the data for Puerto Rico is under analysis and construction, to review the information log on to http://depts.washington.edu/uwruca/index.html.
17
The following 11 healthcare facilities of non-profit providers associated to the PRDH are the future participants in the network; we have included the address, zip code, and phone number for each health care facility which will participate in the network;
Medicare Program Offices There are currently 6 Medicare Program Offices pending installations, including the facilities of Río Grande, Arroyo, Ponce I, Ponce II, Ponce III and the Ponce Regional Office. Demographic Registry There are currently 3 Demographic Registry offices pending installations, including the facilities of Junco, Comerío and Toa Alta. Centers for Diagnosis and Treatment Centro de Diagnóstico y Tratamiento de Río Grande Calle Manuel Pimentel y Castro#200 Río Grande, PR 00745 787-809-1010 Centro de Diagnóstico y Tratamiento de Morovis Morovis, PR 00745 Primary Health Service Regional Offices Antiguo Hospital Distrito Carretera 129 Salida 77 de Arecibo a Lares Arecibo, PR (787) 439-4121 San Juan Bautista Medical Center Car. 172, Urb. Turabo Garden Caguas, PR 00726 (787) 744-3141 Centro Médico de Mayagüez Edif. Antigua Casa de Salud Carretera #2, Tercer Piso Mayagüez, PR Antiguo Hospital de Distrito Hospital San Lucas II, Segundo Piso Ponce, PR 787) 843-9263 Other Program Offices Mental Retardation Program
18
CEM Building # 1409, Mezan Avenida Ponce de León, Parada 20 Santurce, PR Health Promotion and Protection CEM Building # 1409, Mezan Avenida Ponce de León, Parada 20 Santurce, PR Centers for Prevention and Treatment of STDs Centro Inmunológico de Arecibo Car. 129 Antiguo Hosp. de Distrito Arecibo, PR 00612-3666 (787) 817-1245 Centro Inmunológico de Bayamón Hospital Universitario Dr. Ramón Ruiz Arnau Casa de Salud Ave. Laurel #100, Bo. Santa Juanita Bayamón, PR 00956 (787) 778-4747 Centro Inmunológico de Caguas San Juan Bautista Medical Center Car. 172, Urb. Turabo Garden Caguas, PR 00726 (787) 744-3141 Centro Inmunológico de Carolina Hospital de la Universidad de Puerto Rico Dr. Federico Trilla Car. # 3 Km. 8.3 Ave. 65th Infantería Carolina, PR 00984 (787) 757-1800 Centro Inmunológico de Fajardo Calle Rafael #55 Edif. 1 Fajardo, PR 00738 (787) 274-5502 Centro Inmunológico de Mayagüez Centro Médico Hosp. Ramón Emeterio Betances Suite 6, Ave. Hostos #40 Mayagüez, PR 00680 (787) 834-2110
19
Centro Inmunológico de Ponce Hospital San Lucas II Ave. Tito Castro Car. 14 Bo. Machuelo Ponce, PR 00933 (787) 259-4046 Centro Latinoamericano de Enfermedades de Transmisión Sexual Paseo Celso Barbosa, Edif. de Trauma, Piso I San Juan, PR 00936 (787) 754-8128 Pediatric Centers Centro Pediátrico de Arecibo Car. 129 Antiguo Hospital de Distrito Arecibo, PR 00612-3666 (787) 817-1245 Centro Pediátrico de Bayamón Hospital Universitario Dr. Ramón Ruiz Arnau Casa de Salud Ave. Laurel #100, Bo. Santa Juanita Bayamón, PR 00956 (787) 778-4747 Centro de Pediatría de Caguas San Juan Bautista Medical Center Car. 172, Urb. Turabo Garden Caguas, PR 00726 (787) 744-3141 Centro de Pediatría de Fajardo Calle E Suite 77 Urb. Monte Brisas Fajardo, PR 00738 (787) 801-1114 Centro Pediátrico Mayagüez 410 Avenida Hostos Suite 1, Bo. Sábalos Mayagüez, PR 00682 (787) 834-5830 Centro Pediátrico de Ponce Ave. Tito Castro 931
20
Car. 14, Bo. Machuelo Ponce, PR 00933 (787) 840-7202 Women, Infant and Children Program Offices There are plans to upgrade the 101 Medicare Program Offices to meet the current infrastructure standard. (see Appendix E for listing).
21
Appendix A: Abbreviation OIAT Oficina de Informática y Avances Tecnológicos, Office of Informatics and
Technological Advances ASEM Asociación de Servicios Médicos de Puerto Rico, Association of Medical
Service of Puerto Rico CDT Centro de Diagnóstico y Tratamiento, Center for Diagnosis and Treatment PRDH Puerto Rico Department of Health RUCA Rural Urban Commuting Area
22
Appendix B: Programs in Contribution State Funds I. State Fund (111) Administration General Hospital Institutions State Laboratory Women and Children Program OCASET Informatics Office Regional Offices Environmental Health SAPS SARAFS(Licensing Agency) II. State Fund (272) Medicare Biosecurity BRFS (Risk Factor Surveillance) HOPWA OCASET HIV/AIDS Prevention Cancer Registry SAPS SARAFS Immunization AIDS Surveillance WIC III. State Income Fund (297 y 410) State Laboratory Demographic Registry Regulation and Certification of Healthcare Professionals Environmental Health SARAFS (licensing agency) Physician Certification IV. Fund 571 Hospital Pediátrico Universitario Hospital Universitario de Adultos
App
endi
x C
: M
edic
are
Pro
gram
Offi
ces
M
edic
are
Pro
gram
C
ity
Adm
inis
trato
r Ad
dres
s Te
leph
one
Cab
o R
ojo
Sra
. Ade
lina
Car
rera
Rod
rígue
z C
alle
Muñ
oz R
iver
a 10
8 25
5-21
35
Hor
mig
uero
s S
ra. N
ydia
Orti
z Lu
go
Car
r. 2
Km
. 164
.6 P
laza
Mon
serra
te II
Ofic
ina
5 y
6 84
9-41
00
Laja
s S
ra. I
saac
Mar
tínez
Pér
ez
Cen
tro S
alud
Fam
iliar
Ave
. Fla
mbo
yán
#237
89
9-17
78
Sab
ana
Gra
nde
Sra
. Myr
na T
orre
s Lu
go
Car
r. 10
2 K
m. 3
9 87
3-45
10
San
Ger
man
S
r. R
ober
to R
odríg
uez
Ros
a E
dific
io A
nton
gior
gie
Ave
. Cas
tro P
érez
# 1
03
892-
2625
Y
auco
S
ra. E
dna
Oct
avia
ni V
élez
S
uper
viso
ra In
terin
a C
entro
Gub
erna
men
tal 2
do p
iso
856-
5696
Gua
nica
S
rta. C
oral
is G
arcí
a M
artín
ez
Sup
ervi
sora
Inte
rina
Cen
tro S
alud
Fam
iliar
Car
r. 11
6 #
35
821-
5114
Gua
yani
lla
Sra
. Ana
A. R
odríg
uez
Cal
le M
uñoz
Riv
era
47
835-
4763
B
arce
lone
ta
Sr.
Car
los
Mar
tínez
Peñ
a C
arr.
Num
. 2 K
m. 6
4.9
Cru
ce D
ávila
84
6-54
02
Cia
les
Sr.
Áng
el R
. Per
dom
o O
rtiz
Cal
le B
etan
ces
Edi
f. M
erca
do A
gríc
ola
871-
3084
Fl
orid
a S
rta. N
orai
ma
Mer
cado
Ace
vedo
C
alle
Ant
onio
Alc
azar
# 2
7 82
2-11
28
Dor
ado
Sra
. Nel
da R
iver
a R
omer
o C
entro
de
Sal
ud D
orad
o 40
0 ca
rr. 8
98 S
uite
2
796-
0121
/ 79
6-05
80
Toa
Alta
S
ra. A
rleen
Son
era
Ram
os
Cal
le L
uis
Muñ
oz R
iver
a #
32
870-
3120
V
ega
Alta
S
r. Jo
sé E
. Del
gado
Alic
ea
CD
T. d
e V
ega
Alta
Car
r. 2
883-
6100
/ 27
0-23
07
Mor
ovis
S
ra. L
uz B
errio
s R
odríg
uez
Ave
. Cor
ozal
Esq
uina
Pat
rón
862-
1795
V
ega
Baj
a S
ra. N
ilda
Con
cepc
ión
Rod
rígue
z U
rb. V
illa P
inar
es 8
1 A
ve. V
illa d
e P
aseo
s 85
5-41
34
Man
atí
Sra
. Áng
ela
Villa
nuev
a M
oral
es
Cal
le R
amos
Vél
ez (f
inal
) #8
Ent
rand
o E
sq.
Cal
le B
aldo
rioty
85
4-95
74
City
Ad
min
istra
tor
Addr
ess
Tele
phon
e G
urab
o S
rta. S
atur
nina
Fon
tane
z C
alle
San
tiago
# 1
05
737-
4831
A
guas
Bue
nas
Sra
. Nilk
a G
orad
in d
e M
elén
dez
Cal
le J
uan
J. H
erná
ndez
45
732-
0080
C
idra
S
r. R
amón
Rey
es
Cal
le J
osé
Núñ
ez F
inal
Seg
undo
Pis
o 73
9-71
10
2
Med
icar
e P
rogr
am
Cay
ey
Sra
. Ana
I. F
igue
roa
159
Cal
le N
úñez
Rom
eo E
ste
738-
4976
C
agua
s S
ra. N
aida
Pér
ez
Edi
f. P
laza
Gau
tier B
eníte
z Lo
cal 4
-B
746-
2556
Ju
ncos
S
ra. L
uz C
. Riv
era
Cal
le D
r. B
arre
ras
Esq
uina
Dan
iel F
lore
s 73
4-20
02
Las
Pie
dras
S
ra. I
ris E
chev
arria
C
entro
de
Med
icin
a In
tegr
ada
Cal
le J
osé
C.
Bar
bosa
73
3-15
19
Mau
nabo
S
r. V
ícto
r Rod
rígue
z C
entro
de
Sal
ud R
yder
Ave
. Ken
nedy
det
rás
del
Cua
rtel d
e la
Pol
icía
86
1-01
54
Nag
uabo
S
r. M
anue
l Río
s D
elga
do
Cen
tro d
e M
edic
ina
Inte
grad
a C
arr.
Milit
ar N
o.
31
874-
6540
Yab
ucoa
S
ra. C
lara
Leb
rón
Cen
tro d
e M
edic
ina
Inte
grad
a C
arr.
Mili
tar N
o. 3
89
3-47
78 /
893-
7100
S
an L
oren
zo
Srta
. Ram
onita
San
tana
C
alle
Lui
s M
uñoz
Riv
era
# 5
Alto
s 73
6-54
14
Hum
acao
S
ra. B
ever
ly M
erca
do
Cal
le F
ont M
arte
lo S
uite
180
85
0-46
13
Arro
yo
Sra
. Alid
a N
avar
ro B
risto
l C
entro
de
Sal
ud F
amilia
r Cal
le M
orse
Esq
. V
alen
tina
Fren
te a
l Cor
reo
839-
2493
Pat
illas
S
r. S
anto
s M
artín
ez M
artín
ez
Cal
le A
lber
to R
icci
#21
Fre
nte
Ferre
tería
H
erm
anos
de
Ped
ro
271-
1762
Agu
ada
Nyd
ia R
amos
E
dif.
Cop
pelia
2do
pis
o B
o. P
iedr
as B
lanc
as
Ave
. Nat
ivo
Ale
rs
868-
7759
Agu
adilla
Á
ngel
M. A
rce
Ant
iguo
Edi
f. de
Con
serv
ació
n (fr
ente
edi
ficio
of
icin
a re
gion
al)
891-
4869
/ 89
1-15
95
Cam
uy
Mar
ia d
e lo
s A
. Orti
z
Cal
le S
an J
osé
#5 (f
rent
e Te
rmin
al c
arro
s pú
blic
os)
820-
3883
Isab
ela
Aid
a G
eren
a C
arr.
#2 k
m. B
o. M
ora
(al l
ado
de la
ferre
tería
A
ceve
do)
872-
5170
City
Ad
min
istra
tor
Addr
ess
Tele
phon
e C
DT.
Isab
ela
Srta
. Yol
anda
Sos
a R
iver
a C
IMA
(ant
iguo
CD
T) A
ve. A
gust
ín R
. Cal
ero
(ant
igua
av
e. A
guad
illa
872-
2801
Moc
a Ilu
min
ada
Felic
iano
Mén
dez
Bar
bosa
218
87
7-26
44
Que
brad
illas
Mad
elin
e B
arre
to R
omán
C
alle
Cal
iforn
ia #
10 (b
ajos
) 89
5-09
07
Rin
cón
Dai
sy N
egro
n N
egro
n H
ospi
tal N
uevo
Cen
tro S
alud
Fam
iliar C
arr.
115
Km
.12.
0 B
o. P
uebl
o 82
3-45
85
3
Med
icar
e P
rogr
am
San
Seb
astiá
n E
milio
Lóp
ez
Cal
le S
ever
o A
rana
#36
89
6-45
05
Uni
dad
Cer
tific
ador
a R
egio
nal
Sra
. Aid
amar
i Cue
vas
Ram
írez
Ant
iguo
Hos
pita
l Dis
trito
Car
r. A
reci
bo a
Lar
es
129
Prim
er P
iso
880-
0434
Are
cibo
C
arm
en L
. Rod
rígue
z V
ícto
r Roj
as II
Car
r. 12
9 In
t. 87
8-87
74
Hat
illo
Luz
S. C
ande
laria
Riv
era
Cal
le F
erna
ndo
Vel
ásqu
ez E
sq. F
rank
lin D
. R
oose
velt
82
0-02
72
Lare
s B
lanc
a E
. Mar
tínez
Don
et
Ave
. Ped
ro A
lbiz
u C
ampo
s K
m. 0
.3
897-
5800
U
tuad
o M
aria
A. L
ouci
l Cue
vas
Ave
. Fer
nand
o Lu
is R
ivas
(al l
ado
de A
SU
ME
) 89
4-88
67
Cas
tañe
r S
ra. S
ylvi
a S
oto
Ram
írez
Car
r. 13
5 K
m. 6
4.2
829-
2759
La
s M
aria
s A
rcán
gel B
onilla
Cre
spo
Pas
eo A
driá
n A
ceve
do S
anab
ria C
arr.
119
Km
. 27
.4
827-
2544
Mar
icao
N
ilda
I. O
rtiz
Flor
es
Ave
. Luc
hetti
#9
(Fre
nte
Cua
rtel P
olic
ía)
838-
2266
A
ñasc
o E
dwin
Gon
zále
z To
rres
C
arr.
402
Km
. (Fr
ente
Zon
a In
dust
rial)
Bar
rio
Mar
ías
826-
5650
May
agüe
z Lo
urde
s C
astro
Seg
arra
U
nida
d S
alud
Pub
lica
de M
ayag
üez
Cal
le P
ilar
Def
illo #
112
832-
8605
Nar
anjit
o S
ra. C
arm
en M
. Rod
rígue
z B
co. P
opul
ar p
iso
2 C
alle
Igna
cio
Mor
ales
#43
86
9-30
05
Com
erío
S
ra. N
ancy
Lóp
ez R
iver
a C
entro
Gub
erna
men
tal S
uite
2 #
35 c
arr.
778
Bda.
P
asar
ell
875-
3470
Bar
ranq
uita
s S
ra. S
andr
a R
odríg
uez
Lópe
z C
entro
Dor
ado
9 C
alle
Bar
celó
Sui
te 1
05
857-
4428
C
oroz
al
Sra
. Mar
ia E
. Oca
sio
Ser
rano
B
o. P
uebl
o 85
9-67
03 /
859-
0308
O
roco
vis
Sra
. Exi
genc
ia C
ruz
Ber
rios
Edi
f. O
ro C
ente
r Offi
ce A
ve. L
uis
Muñ
oz M
arín
#
59
867-
3606
Villa
lba
Sra
. Mar
ilyn
Riv
era
Rui
z C
alle
Muñ
oz R
iver
a #
39 F
rent
e tie
nda
Me
Sal
ve84
7-71
07
Juan
a D
íaz
Sr.
Nel
son
Pal
omo
Ram
os
Cal
le M
uñoz
Riv
era
Esq
. Dr.
Vev
e 83
7-66
07
Jayu
ya
Sra
. Mag
da I.
Sot
o O
ngay
C
entro
de
Sal
ud C
alle
Cem
ente
rio #
2
828-
1541
C
oam
o S
ra. N
ayda
Zay
as S
erra
no
Cen
tro d
e S
alud
Fam
iliar D
esví
o M
uñoz
Mar
ín
Fren
te R
es. E
l Edé
n 82
5-63
67
Aib
onito
S
ra. E
lena
Rita
Gon
zále
z C
alle
San
Jos
é #
217
735-
6720
4
Med
icar
e P
rogr
am
Gua
yam
a S
ra. S
ilvia
M. O
reng
o R
amos
A
ntig
uo C
.D.T
. Cal
le B
aldo
rioty
Fin
al O
este
86
6-06
73 /
866-
0398
S
alin
as
Sra
. Ana
M. R
eyes
Rod
rígue
z C
alle
Lui
s M
uñoz
Riv
era
# 2
824-
4997
S
anta
Isab
el
Sr.
Cel
estin
o H
erná
ndez
C
DT
Cel
is A
guile
ra C
/Eug
enio
Mar
ia d
e H
osto
s S
alid
a pa
ra C
oam
o 84
5-87
17 /
845-
5050
P
once
Adj
unta
s S
rta. J
essi
ca C
ruz
Rui
z / I
nter
ina
Cen
tro d
e S
alud
Cal
le D
r. D
efen
dini
3
829-
1063
P
eñue
las
Sra
. Erc
ilia R
iver
a R
iver
a C
entro
de
Dia
gnos
tico
y Tr
atam
ient
o ca
rr.
Est
atal
385
Km
. 0.5
Bo.
Cue
vas
(ant
es G
uard
ia
Nac
iona
l
836-
6007
Loíz
a S
ra. R
uth
Lanz
o C
onci
lio S
alud
Inte
gral
Car
r. 18
8 In
ters
ecci
ón
189
256-
5040
Río
Gra
nde
Bru
nild
a S
alic
rup
39 C
alle
Pim
ente
l 50
4-26
05 /
504-
2642
C
anov
anas
S
rta. W
ilma
Riv
era
Piz
arro
C
alle
Cor
chad
o Fr
ente
Cua
rtel d
e la
Pol
icía
25
6-80
94
Faja
rdo
Sra
. Car
men
M. M
oral
es
Ave
. Gen
eral
Val
ero
#394
80
1-20
55
Luqu
illo
Srta
. Elis
abel
Sol
is
Edi
f. Lu
quill
o P
laza
28
Cal
le F
erná
ndez
Gar
cía
Loca
l 22
889-
3407
M
edic
are
Pro
gram
C
ity
Adm
inis
trato
r Ad
dres
s Te
leph
one
Cei
ba
Sra
. Áng
ela
Alv
arad
o 25
8 A
ve. L
auro
Piñ
ero
885-
5500
C
arol
ina
Srta
. Ros
alía
Car
tage
na
Cal
le Ig
naci
o #
106
757-
9535
/ 75
2-12
80
Truj
illo A
lto
Sr.
Luis
Flo
res
Cen
tro C
omer
cial
Lag
o A
lto K
m. 4
.5 E
xpre
so T
. A
lto, C
alle
A E
sq. C
alle
Lor
o U
rb. L
ago
Alto
75
5-41
50
Bay
amón
S
ra. M
aris
ol C
rispí
n R
eyes
U
rb. H
erm
anas
Dáv
ila C
alle
3 A
79
8-33
20 /
269-
5588
B
ayam
ón
Pue
blo
Sra
. Sel
va T
orre
s M
artín
ez
Seg
undo
Pis
o C
antó
n M
all C
alle
Bet
ance
s #
40
269-
6030
Hos
p. R
eg.
Bay
. S
ra. S
ara
Ech
evar
ria C
ED
EA
O
Ave
. Lau
rel S
anta
Jua
nita
78
7-51
51 x
. 20
78 ó
247
0
5
Med
icar
e P
rogr
am
Cat
año
Srta
. Wan
da C
anin
o Ló
pez
Edi
f. Fu
erte
Ave
. Prin
cipa
l Bay
Vie
w E
sq. W
est
Oce
an D
rive
# 10
Toa
Baj
a S
ra. N
itza
I. M
irand
a S
anto
s C
alle
Lui
s M
uñoz
Riv
era
# 29
79
4-16
26
Gua
ynab
o S
ra. N
orm
an R
íos
Gua
ynab
o M
edic
al M
all 5
to P
iso
720-
0449
A
mel
ia
Sra
. Irm
a H
erná
ndez
6
App
endi
x D
: D
emog
raph
ic R
egis
try O
ffice
s
Dem
ogra
phic
Reg
istry
C
ity
Adm
inis
trato
r Ad
dres
s Te
leph
one
Cab
o R
ojo
Nel
ly S
egar
ra
Cal
le M
uñoz
Riv
era
# 10
6 85
1-20
25 x
. 23
8 85
1-38
80
Hor
mig
uero
s Irm
a B
onilla
Hor
ta
Cal
e R
ama
Esq
. Alb
izu
Cam
pos
# 18
alto
s 89
2-22
70
Laja
s B
etzy
Iriz
arry
Naz
ario
A
ve. F
lam
boyá
n #2
37
899-
3440
S
an G
erm
an
Ros
ario
Irriz
ary
Orti
z C
alle
Ram
a es
q. A
lbiz
u C
ampo
s #
18 A
ltos
892-
2270
G
uani
ca
Geo
rgin
a R
omán
Pag
an
Cen
tro d
e S
alud
Fam
iliar R
amal
116
82
1-26
50
Gua
yani
lla
Ferm
ina
Oliv
eras
Mor
ales
C
alle
Jos
é de
Die
go #
13
835-
2150
Y
auco
Y
olan
da O
reng
o C
arab
allo
H
ospi
tal B
ella
vist
a de
l Sur
Oes
te c
arr.
128
desv
ío
856-
1680
Bar
celo
neta
Mar
ia d
el C
. Gon
zále
z C
ruz
Edi
f. M
ultiu
so p
iso
2 an
exo
a la
Alc
aldí
a 84
6-34
00
x.29
0 C
iale
s A
race
lis S
oto
Ote
ro
Cia
les
Prim
ary
Hea
lth C
ares
Ser
vice
s ca
rr. 1
29
871-
2560
Fl
orid
a Zu
lma
M. S
antia
go G
onzá
lez
Cen
tro d
e S
alud
cal
le A
nton
io A
lcaz
ar #
27
822-
2506
M
anat
í D
oris
M. A
layo
n Á
lvar
ez
#2 c
alle
Ram
os V
élez
85
4-24
92
Mor
ovis
R
amón
B. C
orte
s D
íaz
Cen
tro d
e S
alud
Pub
lica
862-
3000
x.
2223
D
orad
o
A
na M
aldo
nado
B
arrio
Mam
eyal
car
r. 69
8 27
8-49
54
Toa
Alta
Iri
s N
. Par
rilla
Sot
o A
ve. S
aban
a S
eca
final
sec
tor e
l 26,
Bo.
Inge
nio
870-
6296
G
urab
o C
arm
en S
. Rod
rígue
z Ji
mén
ez
Urb
. El M
aest
ro #
3 73
7-42
44
Agu
as B
uena
s E
lizab
eth
Gon
zále
z G
arcí
a C
entro
de
Sal
ud F
amilia
r cal
le L
uis
Muñ
oz
Riv
era
Fina
l 73
2-22
40
Cid
ra
Ros
a M
elén
dez
Bur
gado
H
ospi
tal M
enon
ita E
l Jíb
aro
Km
. 1
739-
7610
C
ayey
O
lga
de J
esús
Rub
et
Hos
pita
l de
Áre
a ca
lle L
uis
Bar
rera
# 5
73
8-23
52
Dem
ogra
phic
Reg
istry
C
ity
Adm
inis
trato
r Ad
dres
s Te
leph
one
Cag
uas
Mar
ia Á
lam
o G
onzá
lez
Cal
le M
uñoz
Riv
era
#65
esq.
Cel
is A
guile
ra
743-
2616
Ju
ncos
M
aria
E. L
oiz
Del
gado
Tu
rabo
Med
ical
Gro
up c
alle
Muñ
oz R
iver
a Fi
nal
734-
3370
7
Las
Pie
dras
S
onia
M. T
orre
s D
elga
do
Cal
le C
elso
Bar
bosa
73
3-44
33
Mau
nabo
C
arm
en E
. Nav
arro
Fig
uero
a C
entro
de
Sal
ud P
ublic
a 86
1-80
25
Nag
uabo
W
ilfre
do G
arcí
a To
ledo
C
arr.
# 31
87
4-00
31
Yab
ucoa
M
aria
Leb
rón
Var
gas
Cal
le P
edro
M. V
ázqu
ez s
alid
a C
amin
o N
uevo
89
3-71
00x.
106
San
Lor
enzo
M
aria
n V
arga
s Lu
go
Cen
tro d
e S
alud
del
Ryd
er c
alle
Lui
s M
uñoz
R
iver
a Fi
nal
715-
2190
Hum
acao
In
és R
odríg
uez
Rod
rígue
z H
ospi
tal R
egio
nal V
ícto
r Rin
cón
Ave
. Tej
as
852-
1704
A
rroy
o G
ladi
s R
odríg
uez
Rom
án
Cal
le M
orse
esq
uina
Val
entin
a 83
9-21
04
Pat
illas
Ana
H. T
orre
s R
odríg
uez
Cen
tro d
e S
alud
Fam
iliar c
arr.
# 3
al la
do d
el
Cor
reo
839-
2049
/ 83
9-43
20
839-
4360
V
iequ
es
Just
ina
Qui
ñone
s M
elén
dez
Cen
tro d
e S
alud
Bo.
Des
tino
74
1-18
27
Agu
ada
Mar
ia R
osa
Ace
vedo
C
línic
a S
an F
ranc
isco
Cal
le C
olón
#10
6 86
8-36
50
Agu
adilla
E
lizab
eth
Lópe
z O
liver
H
ospi
tal S
ub R
egio
nal E
dific
io A
polo
89
1-66
88
Cam
uy
Mon
serra
te J
imén
ez O
rtiz
Ave
. Muñ
oz R
iver
a #4
89
8-22
90
x.26
1 Is
abel
a E
lsa
C. S
antia
go S
oler
A
ve. A
gust
ín R
amos
Cal
ero
Bo.
Mor
a 87
2-40
40
Moc
a N
ilda
Pag
an M
artín
ez
Ant
igua
US
P c
alle
Bar
bosa
#23
7
877-
5675
Q
uebr
adilla
s C
arm
en V
élez
Gon
zále
z C
entro
de
Sal
ud F
amilia
r Muñ
oz R
iver
a 89
5-25
96
Rin
cón
Fran
ces
M. V
elás
quez
Cue
sta
Cal
le L
uis
Muñ
oz R
iver
a
823-
4645
S
an S
ebas
tián
Mer
cede
s S
oto
Pér
ez
Cen
tro d
e S
alud
cal
le P
avía
Fer
nánd
ez
896-
1652
A
reci
bo
Miri
am R
. Ram
os C
osm
e A
ntig
uo H
ospi
tal d
e D
istri
to c
arr.
829
Are
cibo
a
Lare
s 87
8-25
72 /
878-
7665
D
emog
raph
ic R
egis
try
City
Ad
min
istra
tor
Addr
ess
Tele
phon
e H
atillo
B
lanc
a I.
Gar
cía
Felic
iano
C
entro
de
Sal
ud c
alle
Fer
nand
o V
elás
quez
89
8-35
70
Lare
s E
vely
n P
érez
Col
on
CD
T In
corp
orad
o R
afae
l A. G
onzá
lez
Car
r. 11
K
m. 1
.9
897-
2195
Utu
ado
Man
uel R
odríg
uez
Rod
rígue
z C
entro
de
Sal
ud Is
aac
Gon
zále
z 89
4-24
45
Las
Mar
ias
Car
men
I. C
oria
no R
odríg
uez
Bo.
Mar
avilla
Est
e 82
7-22
20
Mar
icao
V
irgen
E. P
ache
co S
anta
na
#9 A
ve. L
uche
tti
838-
2590
8
Aña
sco
Car
men
I. M
énde
z C
orre
a C
entro
de
Sal
ud F
amilia
r Zon
a In
dust
rial B
o.
Mar
ia
826-
0777
May
agüe
z A
ida
L. C
olon
Orti
z U
nida
d S
alud
Pub
lica
calle
Pila
r Def
illo
832-
1184
/ 83
2-16
00
9
D
emog
raph
ic R
egis
try
City
Ad
min
istra
tor
Addr
ess
Tele
phon
e N
aran
jito
Min
erva
Riv
era
San
tos
Bo.
Ach
iote
Car
r.164
86
9-78
10
Com
erío
Lu
z E
. Rey
es R
íos
Cen
tro d
e S
alud
cal
le G
eorg
etti
# 85
87
5-30
10
Bar
ranq
uita
s A
ida
Fuen
tes
Alv
arad
o C
EM
PR
I cal
le B
arce
ló #
53
857-
3855
C
oroz
al
Car
men
M. C
olon
Pér
ez
Cal
le S
an R
amón
fina
l 85
9-21
83
Oro
covi
s M
arga
rita
Rod
rígue
z P
agan
A
ve. L
uis
Muñ
oz M
arín
86
7-52
88
Villa
lba
Eld
ra E
. Col
on C
ruz
Urb
. La
Veg
a
847-
9210
Ju
ana
Día
z Iri
s R
. Gut
iérre
z M
aria
no
Cal
le L
a C
ruz
# 6
837-
3580
Ja
yuya
E
dith
M. M
edin
a To
rres
Cal
le C
emen
terio
#2
828-
3650
C
oam
o M
aritz
a B
urgo
s C
ruz
Cen
tro C
oam
eño
de M
edic
ina
Ava
nzad
a A
ve.
Muñ
oz R
iver
a 82
5-37
90
Aib
onito
R
amon
ita M
atos
Orti
z C
alle
San
Jos
é de
trás
del c
uarte
l de
la P
olic
ía
735-
1910
G
uaya
ma
Mar
ia E
lena
Col
on R
odríg
uez
Ant
iguo
CD
T B
aldo
rioty
Fin
al O
este
86
4-02
02
Sal
inas
W
anda
I. L
ópez
Rod
rígue
z S
urm
ed M
edic
al C
ente
r 82
4-25
00
San
ta Is
abel
E
nid
Col
on C
ruz
Cen
tro d
e S
alud
Fam
iliar H
osto
s Fi
nal
845-
5050
x.23
7 P
once
B
eatri
z P
érez
Cas
tella
r C
alle
May
or C
ante
ra #
4
842-
3127
P
eñue
las
Iraid
a M
. Rod
rígue
z C
entro
de
Dia
gnos
tico
y Tr
atam
ient
o B
o.
Cue
vas
Car
r. 13
2 K
m. 5
83
6-20
50
Adj
unta
s E
lba
Mal
dona
do M
iro
Cen
tro d
e S
alud
Fam
iliar D
r. D
efen
dini
# 4
82
9-04
05
Loiz
a W
anda
Can
ales
Dáv
ila
Con
cilio
Inte
gral
de
Sal
ud
876-
8165
R
ió G
rand
e Id
alia
Tor
res
Are
na
Rio
Gra
nde
Com
mun
ity H
ealth
Car
e 88
7-34
29
Can
óvan
as
Luz
S. F
erna
ndez
Mon
tañe
z C
entro
de
Sal
ud c
alle
Cor
chad
o fre
nte
cuar
tel
Vale
ncia
87
6-28
98
Faja
rdo
Rod
olfo
Rob
les
Rod
rígue
z A
ve. B
Esq
. E, U
rb. M
onte
bris
as
863-
7360
Lu
quillo
C
arm
en F
igue
roa
Nor
man
dia
Luqu
illo H
ealth
Com
mun
ity C
ente
r ca
lle 4
de
julio
fina
l 88
9-33
77
Dem
ogra
phic
Reg
istry
C
ity
Adm
inis
trato
r Ad
dres
s Te
leph
one
Cei
ba
Viv
ian
San
tiago
Gar
cía
Cal
le J
osé
Rom
ero
#7
885-
7265
10
Cei
ba S
ub
Nim
ia S
. Tor
ruel
las
Bas
e N
aval
Roo
seve
lt R
oad
865-
5968
/ 86
5-59
22
Car
olin
a C
arm
en L
. San
tana
C
alle
Ber
nard
o G
arcí
a #
8 su
r 76
8-61
73
Truj
illo A
lto
Osv
aldo
Qui
les
Fran
co
Cen
tro d
e S
alud
Exp
. K
m.4
.7 U
rb. L
ago
Esq
. C
arite
28
3-22
45
Bay
amón
M
yrna
Góm
ez O
tero
C
antó
n M
all O
fic. 1
Seg
undo
Pis
o 78
5-04
39 /
288-
5111
64
8-18
83
Bay
amón
Sub
A
lba
Edd
a M
aldo
nado
Mar
rero
A
ve. L
aure
l Lom
as V
erde
s 78
7-51
51
x.18
3 2
69-
0883
G
uayn
abo
Zena
ida
Riv
era
Llop
iz
Gua
ynab
o M
edic
al M
all A
ve. L
a C
umbr
es #
140
28
7-35
00
x.23
17
San
Jua
n E
mne
dies
Dáv
ila
Cal
le Q
uisq
ueya
# 1
71
767-
9120
X
.210
5 ó
2108
/ 76
3-92
34
SJ
Mun
icip
al
Jose
fa C
ente
no V
illega
s H
ospi
tal M
unic
ipal
Cen
tro M
edic
o
766-
2222
x.
4026
754
-06
77
SJ
Uni
vers
itario
E
ulal
ia R
iver
a O
rtega
H
ospi
tal U
nive
rsita
rio C
entro
Med
ico
Río
P
iedr
as
754-
0101
x.
2114
ó
3658
To
a B
aja
Iris
N. P
arril
la S
oto
Ave
. Sab
ana
Sec
a fin
al S
ecto
r el 2
6 B
o. In
geni
o 87
0-62
96
Cat
año
Car
men
S. M
arqu
e G
onzá
lez
Cal
le B
erna
rdo
Gar
cía
# 8
Sur
78
8-49
50
11
App
endi
x E
: W
omen
, Inf
ant a
nd C
hild
ren
W
IC
City
Ad
min
istra
tor
Addr
ess
Tele
phon
e C
abo
Roj
o Lc
da. N
ancy
San
tana
C
alle
Muñ
oz R
iver
a #5
7 85
1-80
50
Hor
mig
uero
s S
ra. V
ilma
Bon
illa /
Inte
rina
Pla
za M
onse
rrate
III L
ocal
I C
arr.
#2 K
m. 1
64
Inte
rior
849-
4488
Laja
s Lc
da. M
aria
Can
cel
CFS
Laj
as-C
línic
a W
IC A
ve. F
lam
boyá
n #3
7 /
Ant
iguo
Cen
tro d
e S
alud
89
9-10
44
Sab
ana
Gra
nde
Sr.
Ottm
ar S
antia
go /
Inte
rino
Car
r. 10
2 K
m. 3
9-2
/ Ant
iguo
Cen
tro d
e S
alud
87
3-73
35
San
Ger
man
Lc
da. S
ofia
Sep
ulve
da
Cal
le L
una
Esq
uina
Cas
tro P
érez
Cen
tro
Com
erci
al d
e S
an G
erm
an
892-
3415
Yau
co
Lcda
. Nyd
ia T
orre
s S
ierra
E
dific
io A
-R C
arr.
127
Ext
. 25
de J
ulio
Km
. 0.4
/ A
l lad
o de
la P
anad
ería
Yam
ar y
cer
ca d
e la
Tu
mba
El s
olda
do D
esco
noci
do
856-
6611
Gua
nica
Lc
da. M
aria
de
los
A. O
lan
Bat
all
Cal
le B
uena
Ven
tura
Qui
ñone
s #2
8 / F
rent
e tie
nda
Pre
cios
Loc
os
821-
2997
Gua
yani
lla
Lcda
. San
dra
Felic
iano
Rod
rígue
z C
alle
Ruf
ina
#18
/ Cer
ca F
loris
tería
Bon
nys
835-
1884
B
arce
lone
ta
Lcda
. Olg
a C
olon
Mar
ín
Urb
. Cat
alon
a #
79-A
84
6-02
15
Cia
les
Lcda
. Mar
ibel
Ros
ario
Pér
ez
Cal
le P
alm
er #
4
871-
5713
Fl
orid
a Lc
da. M
aric
elis
Arle
t Pad
illa
Cen
tro d
e S
alud
San
Jud
as d
e Fl
orid
a C
alle
A
nton
io A
lcaz
ar #
27
Sui
te #
1
822-
0316
Man
atí
Lcda
. Ros
a A
lgar
ada
Cal
le R
amos
Vél
ez F
inal
# 2
88
4-70
66
Mor
ovis
Lc
da. J
uana
Mira
nda
Mor
ovis
Com
mun
ity H
ealth
Cen
ter A
ve. C
oroz
al
Esq
uina
Pat
ron
862-
6134
Veg
a B
aja
Lcda
. Iris
D. V
ázqu
ez O
rtiz
Cen
tro d
e S
alud
Fam
iliar U
rb. V
illa P
inar
es,
Cal
le V
illa d
e P
aseo
# 8
1 85
8-24
13
Veg
a A
lta
Lcda
. Nan
cy R
amíre
z C
arr.
#2 /
Fren
te P
lant
a E
léct
rica
Det
rás
Cen
tro
de S
alud
Veg
a A
lta
270-
3183
/ 27
0-23
00
City
Ad
min
istra
tor
Addr
ess
Tele
phon
e To
a A
lta
Lcda
. Nay
da C
héve
re Ir
izar
ry
Cal
le M
uñoz
Riv
era
20 /
Fren
te P
laza
de
Rec
reo
870-
2370
12
WIC
D
orad
o Lc
da. M
adel
ine
San
tiago
C
SF
Dor
ado
Car
r. 69
8 E
ntra
ndo
haci
a B
o.
Mam
eyal
Sui
te 4
27
8-27
98
Gur
abo
Lcda
. Nat
ivid
ad R
iver
a G
urab
o C
omm
unity
Hea
lth C
ente
r San
Ant
onio
Fi
nal S
alid
a B
o. J
agua
s / T
raile
r Fre
nte
al
Par
que
de P
elot
a
737-
1240
/ 73
7-12
55
Agu
as B
uena
s Lc
da. E
lda
Orti
z P
uerto
Ric
o M
edic
al C
are
98 M
uñoz
Riv
era
/ Fr
ente
a C
af. R
ev. Q
uick
, el e
stac
iona
mie
nto
de
la c
linic
a se
enc
uent
ra d
etrá
s de
l edi
ficio
732-
0769
Cid
ra
Lcda
. Hel
da C
olon
C
alle
Jos
é D
e D
iego
Fin
al #
1 / S
alid
a R
ío A
bajo
al
lado
del
Gar
age
Res
aco.
2do
niv
el d
el
Dep
arta
men
to d
e la
Fam
ilia y
A.M
. E
ntra
ndo
por e
l Est
acio
nam
ient
o.
739-
5445
/ 73
9-09
28
Cay
ey
Lcda
. Car
men
La
San
ta
Cay
ey P
R M
edic
al (t
raile
r) L
uis
M. B
arre
ros
#5 /
Trai
ler f
rent
e al
Col
egio
La
Mer
ced
738-
0845
/ 73
8-08
85
Cag
uas
Sra
. Atil
da R
odríg
uez
Edi
f. S
hopi
ng P
laza
Gau
tier C
alle
Gau
tier
Ben
ítez,
Esq
. Geo
rget
ti Lo
cal 3
/ O
ficin
a R
egio
nal
746-
2726
/6
565/
2215
74
3-23
77
Cag
uas
Lcda
. Am
arily
s Á
lvar
ez
San
Jua
n B
autis
ta M
edic
al C
ente
r (Tr
aile
r)
Car
r. 17
2 S
alid
a ha
cia
Cid
ra /
Fren
te a
KF
Chi
cken
743-
4565
/ 25
8-57
57
Cag
uas
I Lc
da. C
arm
en T
. Guz
mán
E
dif.
Pla
za G
autie
r Cal
le G
autie
r Ben
ítez,
Esq
. G
eorg
etti
Loca
l #6
/ 1er
Pis
o Fr
ent O
ficin
a R
egio
nal
743-
2334
Cag
uas
II Lc
da. N
ydia
Leó
n P
laza
del
Car
men
Mal
l Car
r. 17
2 Lo
cal B
-6 2
do
Niv
el
744-
3460
City
Ad
min
istra
tor
Addr
ess
Tele
phon
e Ju
ncos
Lc
da. M
aria
I. R
omán
P
laza
del
Val
enci
ano
C-1
5 A
ve. L
as F
lore
s /
Cer
ca d
el T
ribun
al S
uper
ior d
e Ju
stic
ia
734-
5010
/ 73
4-50
25
734-
5088
/ 73
4-50
55
13
WIC
La
s P
iedr
as
Lcda
. Jua
na C
orte
s C
entro
de
Med
icin
a In
tegr
al J
osé
C. B
arbo
sa
#74
/ Al l
ado
Esc
. Int
erm
edia
Fer
nand
o R
oig.
73
3-08
44
Mau
nabo
Lc
da. G
ladi
s C
olon
C
EM
PR
I Hos
pita
l Ryd
er M
auna
bo A
ve.
Ken
nedy
/ D
etrá
s C
uarte
l Pol
icía
86
1-10
07
Nag
uabo
Lc
da. O
lga
Agu
iar
Cen
tro d
e S
alud
Fam
iliar N
agua
bo C
arr.
Milit
ar
#31
/ Fre
nte
a la
fabr
ica
Dua
l Life
87
4-33
22
Yab
ucoa
Lc
da. I
ris D
. Lab
oy
Cen
tro d
e S
alud
Fam
iliar C
arr.
901
/ C
erca
C
entro
Com
erci
al J
ardi
nes
de Y
abuc
oa
893-
7639
San
Lor
enzo
Lc
da. M
aria
E. C
laud
io
Muñ
oz R
iver
a fin
al /
Fren
te a
l Cen
tro
Gub
erna
men
tal
736-
2400
Hum
acao
Lc
da. Á
urea
Pér
ez
Hos
pita
l Reg
iona
l Ave
. Tej
as, S
egun
do N
ivel
/ C
erca
del
Sup
erm
erca
do d
el E
ste
y K
F C
hick
en
852-
4460
/ 85
2-83
92
Arr
oyo
Eva
De
Jesú
s A
rroy
o / I
nter
ina
Cal
le M
orse
Esq
. Val
entin
a / F
rent
e a
la P
laza
de
l Mer
cado
83
9-62
25
Pat
illas
Aid
a R
iver
a Ti
rado
/ In
terin
a C
alle
Lui
s M
uñoz
Riv
era
(Nor
te) #
24 /
Fren
te
Mau
na C
oop.
83
9-80
20
Cul
ebra
S
r. W
ilfre
do P
ache
co /
Inte
rino
CD
T C
uleb
ra C
alle
Willi
am F
ont (
final
) / C
erca
de
l Edi
ficio
Env
ejec
ient
e 74
2-05
22
Vie
ques
S
ra. N
ora
Cam
acho
/ In
terin
a B
o. D
estin
o, C
arr.
997
Km
. 1.0
74
1-19
64
Agu
ada
Lcda
. Mar
garit
a S
antia
go
Est
ació
n #5
6 E
dif.
Labo
rato
rio A
guad
ero
1er
piso
86
8-81
63
W
IC
City
Ad
min
istra
tor
Addr
ess
Tele
phon
e A
guad
illa
Lcda
. Zul
ma
Lore
nzo
Edi
f. V
icto
ria II
Cal
le M
erce
des
Mor
eno
#6
882-
3189
0 C
amuy
Lc
da. M
yrna
San
to G
uillm
a C
alle
San
Jos
é #3
Cam
uy
898-
1414
Is
abel
a Lc
da. M
iriam
Mat
ías
Cen
tro C
omer
cial
Coo
pera
tivo
Ave
. Jua
n H
ndz.
Orti
z N
um. 1
Alto
s 87
2-52
00
Moc
a Lc
da. L
iana
bel V
illan
ueva
50
7 C
alle
Con
cepc
ión
Ver
a S
. 87
7-00
90 /
877-
7760
Q
uebr
adilla
s Lc
da. A
ixa
Cot
to M
oran
C
alle
Enr
ique
Lin
ares
#20
7 E
dific
io A
mad
or
895-
1678
14
WIC
R
incó
n Lc
da. B
elqu
is M
atía
s C
arr.
115
Km
. 12.
0 82
3-20
40
San
Seb
astiá
n Lc
da. S
ylvi
a Lu
go
Pepi
no H
ealth
Gro
up 1
20 C
alle
Pav
ía
Fern
ánde
z 82
0-12
55
Are
cibo
Cal
le J
esús
Cor
tes
#101
y #
105
Ofic
ina
Reg
iona
l y C
línic
a 88
0-57
58
Hat
illo
Lcda
. Aid
a L.
Rom
án M
oral
es
Cen
tro M
edic
o de
Hat
illo C
alle
Fer
nand
o V
elás
quez
Esq
. Fra
nklin
D. R
oosv
elt
262-
2018
Lare
s Lc
da. M
ilagr
os V
ázqu
ez M
oral
es
Cal
le A
lbiz
u C
ampo
s #7
89
7-00
03
Utu
ado
Lcda
. Eve
lia B
áez
Sot
o C
arr.
111
Ave.
Fer
nand
o R
ivas
Dom
inic
hi In
terio
r B
o. V
ivi A
bajo
89
4-57
76
Cas
tañe
r Lc
da. J
ulia
Gan
daril
la
Car
r. 13
5 Km
. 64.
2 82
9-27
59
Áng
eles
S
ra. S
ylvi
a S
oto
Ram
írez
Car
r. 60
2 Km
. 1.2
Bo.
Áng
eles
82
9-27
59
Las
Mar
ias
Sra
. Lilli
am G
onzá
lez
Inte
rna
Bar
rio M
arav
illa S
ur
827-
3768
M
aric
ao
Sr.
Rob
erto
Váz
quez
Inte
rino
Cal
le Z
uzua
regu
i #11
83
8-20
80
Aña
sco
Sr.
José
L. C
ruz
Inte
rino
Cen
tro d
e S
alud
Car
r. 40
2 La
Var
iant
e Zo
na
Indu
stria
l 82
6-51
59
May
agüe
z P
rogr
ama
WIC
S
r. H
igin
io S
alaz
ar
Ave
nida
Hos
tos
410
Car
r. 2
Edi
f. C
asa
de
Sal
ud-p
iso
3 83
4-40
30 /
834-
5574
83
1-42
45
May
agüe
z I
Lcda
. Del
ia P
érez
C
alle
Mar
tínez
Nad
al #
59 S
uite
106
Loc
aliz
ado
en e
l Cen
tro C
omer
cial
Par
k P
laza
/ Fr
ente
al
Par
que
de lo
s P
roce
res
832-
0015
City
Ad
min
istra
tor
Addr
ess
Tele
phon
e M
ayag
üez
S
ra. G
risel
le C
arbo
nell
Inte
rina
Uni
dad
de S
alud
Pub
lica
May
agüe
z 11
2 C
alle
P
ilar D
efillo
26
5-64
40
Nar
anjit
o Lc
da. R
osal
ía R
odríg
uez
Cal
le G
eorg
etti
104
Pis
o 1
869-
2724
C
omer
io
Lcda
. Wan
da L
ópez
C
entro
de
Salu
d Fa
mili
ar C
alle
Geo
rget
ti #1
8 /
(Cem
pri)
CFS
Com
erio
al l
ado
Trib
unal
Sup
. Fr
ente
a R
esid
enci
al M
anue
l Esp
ino
875-
5956
/ 87
5-18
30
Bar
ranq
uita
s Lc
da. R
osa
M. O
rtiz
Cal
le B
arce
ló 1
0 S
alid
a a
Com
erio
/ Fr
ente
al
Hos
pita
l de
Bar
ranq
uita
s 85
7-78
57
15
WIC
C
oroz
al
Lcda
. Gla
dis
Aco
sta
Car
r. 18
91 K
m. 1
47 B
o. P
uebl
o 85
9-30
66 /
859-
2722
O
roco
vis
Lcda
. Ang
ie V
élez
Ser
rano
A
ve. M
uñoz
Mar
ín E
dif.
Oro
Offi
ce C
ente
r /
CE
MP
RI C
FS O
roco
vis
867-
5517
Villa
lba
Lcda
. Mar
ibel
Alb
erto
rio
Urb
. La
Veg
a, C
alle
C-2
84
7-27
81
Juan
a D
íaz
Lcda
. Tam
ara
Cin
tron
Sot
o C
alle
La
Cru
z / A
l lad
o E
sc. S
uper
ior L
lore
ns
Torr
es
260-
1902
Jayu
ya
Aid
a B
urgo
s S
anto
s / I
nter
ina
Cal
le C
emen
terio
#2
/ Cer
ca C
asa
Alc
aldí
a 82
8-29
62
Coa
mo
Lcda
. Car
men
Neg
ron
Cen
tro M
edic
ina
Prim
aria
Dr.
Dam
aso
Tala
vera
C
arr.
138
Ave
. Muñ
oz M
arín
/ Fr
ente
al
Res
iden
cial
El E
dén
825-
2544
Aib
onito
Lc
da. R
ita O
. Riv
era
Cen
tro d
e S
alud
Fam
iliar H
ospi
tal M
enon
ita S
an
José
Inte
rior /
Det
rás
Cua
rte P
olic
ía
735-
0190
Gua
yam
a M
arth
a Ll
aura
dor Z
ayas
/ In
terin
a C
alle
Bal
dorio
ty F
inal
/ C
erca
Dis
tribu
idor
a G
onzá
lez
864-
4167
Sal
inas
Lc
da. E
vely
n V
ázqu
ez V
ázqu
ez
Cen
tro d
e S
alud
Fam
iliar A
nton
ia G
arcí
a C
alle
U
nion
Inte
rior /
Fre
nte
a la
Esc
uela
Sup
erio
r de
Sal
ina
824-
1661
San
ta Is
abel
Lc
da. I
sabe
l Rod
rígue
z B
arre
ras
Cen
tro d
e S
alud
Fam
iliar –
San
ta Is
abel
Cal
le
Hos
tos
Fina
l Car
r. 15
3 / C
erca
de
Res
taur
ante
R
incó
n Ta
ino
845-
4019
City
Ad
min
istra
tor
Addr
ess
Tele
phon
e P
once
O
ficin
a R
egio
nal
Srta
. Nild
a R
iver
a H
ospi
tal E
pisc
opal
San
Luc
as #
2 C
arr.
14, B
o.
Cer
rillo
84
1-45
50 /
840-
5961
84
0-59
96 /
843-
3605
84
0-20
88
(US
P) P
once
U
nida
d Sa
lud
Publ
ica
Lcda
. Nyd
ia A
lvar
ado
Car
r. 14
Bo.
Cer
rillo
Hos
p. S
an L
ucas
#2
/ A
ntig
uo H
ospi
tal d
e D
istri
to
843-
4715
Pon
ce I
Lc
da. E
lba
Mer
cado
Gar
cía
Cal
le M
énde
z V
igo
#65
/ Fre
nte
Term
inal
Car
ros
Púb
licos
84
2-26
14
16
WIC
P
once
III
Lcda
. Arle
en C
olon
Rod
rígue
z C
arr.
#10
de P
once
Cas
h an
d C
arry
84
3-16
75
Pon
ce IV
Lc
da. T
here
sa M
arca
no D
elga
do
Pon
ce B
y P
ass
Esq
. Pám
pano
s / A
l lad
o E
cono
mue
bles
84
1-78
03
Peñ
uela
s Lc
da. S
andr
a S
egar
ra
Cen
tro d
e S
alud
Fam
iliar C
arr.
385
Km
. 0.0
5 B
o.
Cue
vas
/ Cer
ca d
el e
dific
io d
e la
Gua
rdia
N
acio
nal d
e P
eñue
las
836-
3871
Adj
unta
s Lc
da. J
eani
ne T
orre
s C
alle
Muñ
oz R
iver
a #3
6 82
9-58
98
Loíz
a Lc
da. S
andr
a Fi
guer
oa
Con
cilio
de
Loiz
a C
arr.
188
Int.
187
/ Ent
rand
o al
pue
blo
256-
3330
Río
Gra
nde
Lcda
. Mila
ne M
edin
a B
o. J
uan
Gon
zále
z, C
arr.
#3 K
m. 2
7.0
Loca
l 5, 6
y
7, E
dific
io R
iver
a 88
8-44
22
Can
óvan
as
Lcda
. Ros
a V
ázqu
ez
Cen
tro d
e S
alud
Cal
le C
orch
ado
256-
2160
Fa
jard
o
Ofic
. reg
iona
l S
ra. Y
olan
da R
iver
a C
alle
Dr.
Die
go Z
aldu
ondo
#3
(Alto
s)
863-
4000
/ 86
0-11
50
Faja
rdo
I Lc
da. D
amar
is S
anco
z C
alle
Dr.
Die
go Z
aldu
ondo
#3
(Baj
os)
863-
4000
/ 86
0-11
50
17
W
IC
City
Ad
min
istra
tor
Addr
ess
Tele
phon
e Lu
quillo
Lc
da. C
alix
ta R
odríg
uez
Cal
le F
erná
ndez
Gar
cía
# 28
Luq
uillo
Pla
za,
Loca
l # 1
8 88
9-07
34
Cei
ba
Lcda
. Ana
M. M
olin
ari
Cal
le R
omer
o #
772
88
5-00
76
Car
olin
a I
Lcda
. Gis
ela
Mar
icha
l C
arol
ina
Sho
ppin
g C
ourt
sext
o pi
so A
ve. 6
5 In
fant
eria
75
7-30
45
Car
olin
a II
Lcda
. Gis
ela
Mar
icha
l C
arol
ina
Sho
ppin
g C
ourt
sext
o pi
so A
ve. 6
5 In
fant
eria
76
8-34
20 /
768-
3580
Tr
ujillo
Alto
C
DT
Lcda
. Jea
nnet
te D
alm
ao
Cal
le F
lor A
ntilla
na L
lore
ns T
orre
s 76
0-35
35 x
. 23
7
O
fic. R
egio
nal
Sra
. Can
dida
Tor
res
El t
únel
Ave
. 65
Inf.
Km. 2
.0 E
sq. C
alle
2 U
rb. E
l A
lmei
n 76
5-75
78 /
751-
7835
75
9-36
26
Bay
amón
D
ir. R
egio
nal
Sr.
Héc
tor R
iver
a C
arr #
2 K
. 11
H. 9
Pis
o #
2 79
8-52
40 /
798-
5335
79
8-55
20
Bay
amón
S
anta
Jua
nita
Lc
da. I
vonn
e R
odríg
uez
CD
T S
anta
Jua
nita
Ave
. San
ta J
uani
ta B
-1 U
rb.
Sun
ny H
ills a
ltos
Dra
. Glo
ry S
erra
no
288-
3553
Bay
amón
Lcda
. Luz
Lóp
ez
Car
r. #
2K K
. 11
H. 9
Pis
o 1
Fren
te a
Her
man
os
Mel
énde
z, a
l lad
o de
la F
inan
cier
a C
omo
Loco
79
8-51
30
Bay
amón
B
uena
Vis
ta
Lcda
. Bla
nca
R. S
astre
C
arr.
167
Bo.
Bue
na V
ista
/ A
l lad
o de
Mas
ter
Don
uts
279-
4694
Cat
año
Lcda
. Raq
uel N
acer
Ors
ini
Cen
tro d
e S
alud
Ave
. Las
Ner
eida
s 12
6 27
5-03
75
Hat
o R
ey
Lcda
. Mila
gros
Riv
era
CD
T D
r. K
oppi
sch-
San
Jos
é #
404
Ave
. B
arbo
sa
250-
8419
City
Ad
min
istra
tor
Addr
ess
Tele
phon
e To
a B
aja
Lcda
. Van
esa
Gar
cía
Alic
ea
Ave
. Sab
ana
Sec
a fin
al /
Fren
te a
la
Urb
aniz
ació
n M
ansi
ón d
el S
ol /
Al l
ado
del
Cen
tro d
e G
obie
rno
de T
oa B
aja
261-
3999
/ 26
1-24
70
18
WIC
G
uayn
abo
Lcda
. Mar
ines
Loz
ada
Cal
le C
olto
n #1
1 S
egun
do P
iso
790-
4015
S
an J
uan
Sr.
Man
uel G
ómez
C
DT
Dr.
Que
vedo
359
Cal
le S
an A
gust
in P
uerta
de
Tie
rra
723-
6057
x.
220
San
turc
e Lc
da. M
arth
a M
aux
CD
T D
r. B
elav
al A
ve. B
orin
quen
Cal
le N
IN B
o.
Obr
ero
760-
3535
x.
234
98
2-58
87
San
turc
e Lc
da. J
eann
ette
Dal
mao
C
DT
Dr.
Gar
cía
Cal
le fl
or A
ntilla
na L
lore
ns
Torr
es
268-
3992
x.
232-
233
228-
2940
S
antu
rce
Lc
da. T
eres
a E
chev
arria
C
DT
Dr.
Rab
ell-H
oare
Cal
le C
erra
Fin
al 9
00
721-
7089
x.
205,
215,
229
72
1-04
05
Río
Pie
dras
E
vely
n G
uzm
án /
Enf
erm
era
Clín
ica
Pue
rto N
uevo
Cal
le A
ndal
ucía
356
Esq
. C
alle
Aca
pulc
o 78
1-15
50 /
781-
1736
R
ío P
iedr
as
Lcda
. Bru
nild
a V
alen
tín
CD
T D
r. Ja
vier
Ant
ón C
alle
Val
lejo
Esq
. Piñ
ero
763-
4242
x
220,
242
19
App
endi
x F:
Cos
ts T
able
s S
ee a
ttach
ed E
xcel
File
top related