Provider First Line Business Practice Location Address:
BO. BAJURA KM 31.9
Provider Second Line Business Practice Location Address:
CARR # 2 VEGA ALTA COMMUNITY HEALTH
Provider Business Practice Location Address City Name:
VEGA ALTA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00692
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
178-748-5980
Provider Business Practice Location Address Fax Number:
787-883-6728
Provider Enumeration Date:
05/23/2007