Provider First Line Business Practice Location Address:
JORLIS MEDICAL CENTER
Provider Second Line Business Practice Location Address:
CALLE RAFAEL OCASIO #16
Provider Business Practice Location Address City Name:
SALINAS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00751
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-824-1934
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/11/2006