Provider First Line Business Practice Location Address:
FCIA LUMEN MENDEZ
Provider Second Line Business Practice Location Address:
PEDRO ALBIZU CAMPOS #10
Provider Business Practice Location Address City Name:
LARES
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00669
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-897-2050
Provider Business Practice Location Address Fax Number:
787-897-2778
Provider Enumeration Date:
05/24/2007