Provider First Line Business Practice Location Address:
VEGA ALTA COMMUNITY HEALTH ST. #2 KM 31.4 BARIO BAJURAS
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
VEGA ALTA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00692-5835
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
939-969-7529
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/20/2010