Provider First Line Business Practice Location Address:
MAYAGUEZ MEDICAL CENTER
Provider Second Line Business Practice Location Address:
SUITE 118 CARR #2 KM 157 AVE HOSTOS #410
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:
248-552-9858
Provider Business Practice Location Address Fax Number:
248-849-2853
Provider Enumeration Date:
04/12/2013