Provider First Line Business Practice Location Address:
MANATI MEDICAL CENTER
Provider Second Line Business Practice Location Address:
668 CALLE HERNANDEZ CARRION SUITE 203
Provider Business Practice Location Address City Name:
MANATI
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00674-1040
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-918-0066
Provider Business Practice Location Address Fax Number:
787-918-0064
Provider Enumeration Date:
04/20/2016