Provider First Line Business Practice Location Address:
CALLE GARCIA DE LA NOSEDE
Provider Second Line Business Practice Location Address:
APS CLINICO OF PR INC RIO GRANDE
Provider Business Practice Location Address City Name:
RIO GRANDE
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00745
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-887-6110
Provider Business Practice Location Address Fax Number:
787-641-2749
Provider Enumeration Date:
07/03/2006