Provider First Line Business Practice Location Address:
BLQ 35 #21 AV SANCHEZ CASTANO
Provider Second Line Business Practice Location Address:
URB. VILLA CAROLINA GRUPO MEDICO CAROLINA LLC
Provider Business Practice Location Address City Name:
CAROLINA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00985-9998
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-752-1979
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/07/2008