Provider First Line Business Practice Location Address:
740 AVENIDA DE HOSTOS CARRETERA 2
Provider Second Line Business Practice Location Address:
MEDICAL CENTER PLAZA SUITE 212
Provider Business Practice Location Address City Name:
MAYAGUEZ
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00680
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-949-6590
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/17/2018