Provider First Line Business Practice Location Address:
38 MUNOS RIVERA ST
Provider Second Line Business Practice Location Address:
TREJO FAMILY CLINIC
Provider Business Practice Location Address City Name:
NAGUABO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00718
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-874-3786
Provider Business Practice Location Address Fax Number:
787-874-3786
Provider Enumeration Date:
10/25/2010