Provider First Line Business Practice Location Address:
CENTRO DE SALUD MENTAL DE MAYAGUEZ
Provider Second Line Business Practice Location Address:
410 AVE OSTOS SUITE 7
Provider Business Practice Location Address City Name:
MAYAGUEZ
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00682-1522
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-899-6754
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/30/2007