Provider First Line Business Practice Location Address:
HUMACAO MEDICAL PLAZA
Provider Second Line Business Practice Location Address:
OFICINA 203 CALLE FONT MARTELO H53
Provider Business Practice Location Address City Name:
HUMACAO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00791
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-365-1999
Provider Business Practice Location Address Fax Number:
787-285-1970
Provider Enumeration Date:
01/25/2007