Provider First Line Business Practice Location Address:
BO. MONACILLOS CENTRO MEDICO
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00936
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-764-3660
Provider Business Practice Location Address Fax Number:
787-767-3968
Provider Enumeration Date:
04/20/2007