Provider First Line Business Practice Location Address:
EDIF. CARIBE MEDICAL PLAZA MARGINAL SANTA RITA 1
Provider Second Line Business Practice Location Address:
SUITE 204
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
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-270-0710
Provider Business Practice Location Address Fax Number:
787-270-4878
Provider Enumeration Date:
07/03/2006