Provider First Line Business Practice Location Address:
1045 CAMINO CLINICA ESPANOLA
Provider Second Line Business Practice Location Address:
CLINICA ESPANOLA
Provider Business Practice Location Address City Name:
MAYAGUEZ
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00680-5388
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-831-0460
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/26/2012