Provider First Line Business Practice Location Address:
1034 AVE HOSTOS
Provider Second Line Business Practice Location Address:
CENTRO DE DIAGNOSTICO Y TRATAMIENTO DE LA PLAYA
Provider Business Practice Location Address City Name:
PONCE
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00716-1115
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-844-5727
Provider Business Practice Location Address Fax Number:
787-844-5727
Provider Enumeration Date:
11/25/2009