Provider First Line Business Practice Location Address:
CENTRO MEDICO CORRECCIONAL DE BAYAMON
Provider Second Line Business Practice Location Address:
CARR #5 AVE CENTRAL SECTOR JUANITA FINAL
Provider Business Practice Location Address City Name:
BAYAMON
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00960
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
939-225-2400
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/02/2021