Provider First Line Business Practice Location Address:
CARIMED PLAZA
Provider Second Line Business Practice Location Address:
SUITE 309 CALLE SANTA CRUZ B1
Provider Business Practice Location Address City Name:
BAYAMON
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00961
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-740-4465
Provider Business Practice Location Address Fax Number:
787-785-2680
Provider Enumeration Date:
01/02/2007