Provider First Line Business Practice Location Address:
CENTRO DE PATOLOGIA DEL HABLA Y AUDICION
Provider Second Line Business Practice Location Address:
CENTRO COMERCIAL HUMACAO SUITE 100 AVE. FONT MARTELO
Provider Business Practice Location Address City Name:
HUMACAO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00791-0000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-285-3978
Provider Business Practice Location Address Fax Number:
787-285-3978
Provider Enumeration Date:
09/19/2008