Provider First Line Business Practice Location Address:
ST. ANTONIO R. BARCELO
Provider Second Line Business Practice Location Address:
EDIF. ARECIBO EXECUTIVE HALL OFIC. #102
Provider Business Practice Location Address City Name:
ARECIBO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00612
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-879-3688
Provider Business Practice Location Address Fax Number:
787-879-3688
Provider Enumeration Date:
02/14/2007