Provider First Line Business Practice Location Address:
CARR 693, ESQUINA AVE. JOSE EFRAIN
Provider Second Line Business Practice Location Address:
DOCTORS HEATH CENTER DORADO CLINIC # 24, PLAZA DORADA
Provider Business Practice Location Address City Name:
DORADO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00646-4810
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-626-2233
Provider Business Practice Location Address Fax Number:
787-665-0101
Provider Enumeration Date:
08/21/2007