Provider First Line Business Practice Location Address:
SALUD ATU ALCANCE
Provider Second Line Business Practice Location Address:
BO. QUEBRADA LARGA ST # 2 KM 142.2
Provider Business Practice Location Address City Name:
ANASCO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00610
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-834-6767
Provider Business Practice Location Address Fax Number:
787-826-7900
Provider Enumeration Date:
02/11/2008