Provider First Line Business Practice Location Address:
CARRETERA 111 KM 2.9 AVE LOS PATRIOTAS
Provider Second Line Business Practice Location Address:
LARES MEDICAL CENTER
Provider Business Practice Location Address City Name:
LARES
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00669
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-897-1444
Provider Business Practice Location Address Fax Number:
787-897-1463
Provider Enumeration Date:
05/25/2007