Provider First Line Business Practice Location Address:
CARR 335 CENTRO COMERCIAL BARINAS SUITE 201
Provider Second Line Business Practice Location Address:
BARRIO BARINAS
Provider Business Practice Location Address City Name:
YAUCO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00698
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-267-3869
Provider Business Practice Location Address Fax Number:
787-856-8061
Provider Enumeration Date:
08/03/2006