Provider First Line Business Practice Location Address:
CALLE MANUEL F. ROSSI ESQ ISABEL II
Provider Second Line Business Practice Location Address:
BAYAMON HEALTH CENTER SEGUNDO PISO
Provider Business Practice Location Address City Name:
BAYAMON
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00961
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-269-6590
Provider Business Practice Location Address Fax Number:
787-269-6599
Provider Enumeration Date:
11/01/2006