Provider First Line Business Practice Location Address:
MAYAGUEZ MEDICAL CENTER
Provider Second Line Business Practice Location Address:
PR-2, HOSTOS AVENUE
Provider Business Practice Location Address City Name:
MAYAGUEZ
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00681-3872
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-834-2136
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/02/2007