Provider First Line Business Practice Location Address:
CARIBBEAN MEDICAL CENTER PONCE BY PASS 2275
Provider Second Line Business Practice Location Address:
SUITE 202
Provider Business Practice Location Address City Name:
PONCE
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00717-0020
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-840-1455
Provider Business Practice Location Address Fax Number:
787-848-4657
Provider Enumeration Date:
06/25/2007