Provider First Line Business Practice Location Address:
MAYAGUEZ OUTPATIENT CLINIC, VHA
Provider Second Line Business Practice Location Address:
345 HOSTOS AVE
Provider Business Practice Location Address City Name:
MAYAGUEZ
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00680
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-834-6900
Provider Business Practice Location Address Fax Number:
787-265-8825
Provider Enumeration Date:
06/16/2006