Provider First Line Business Practice Location Address:
CENTRO SERVICIOS MEDICOS
Provider Second Line Business Practice Location Address:
STE 5B MEDITACION #55
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:
787-806-0116
Provider Business Practice Location Address Fax Number:
787-806-0116
Provider Enumeration Date:
10/12/2006