Provider First Line Business Practice Location Address:
#1 CALLE JOSE CANDELAS, SUITE 107. SECTOR LA LOMITA
Provider Second Line Business Practice Location Address:
MANATI MEDICAL PLAZA
Provider Business Practice Location Address City Name:
MANATI
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00674
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-854-0337
Provider Business Practice Location Address Fax Number:
787-884-2577
Provider Enumeration Date:
07/14/2006