Provider First Line Business Practice Location Address:
EDIF MEDICO SANTA CRUZ
Provider Second Line Business Practice Location Address:
SANTA CRUZ STREET SUITE 414
Provider Business Practice Location Address City Name:
BAYAMON
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00961-6910
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-778-4558
Provider Business Practice Location Address Fax Number:
787-780-4868
Provider Enumeration Date:
03/10/2006