Provider First Line Business Practice Location Address:
ATENAS MEDICAL & SHOPPING CENTER
Provider Second Line Business Practice Location Address:
URB. ATENAS SUITE 4 & 6
Provider Business Practice Location Address City Name:
MANATI
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00674-4616
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-854-5055
Provider Business Practice Location Address Fax Number:
787-807-2299
Provider Enumeration Date:
02/06/2006