Provider First Line Business Practice Location Address:
CARIMED PLZ # B-1
Provider Second Line Business Practice Location Address:
SUITE 506, SANTA CRUZ ST.
Provider Business Practice Location Address City Name:
BAYAMON
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00961-6928
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-785-3687
Provider Business Practice Location Address Fax Number:
787-995-0201
Provider Enumeration Date:
09/06/2006