Provider First Line Business Practice Location Address:
CARR 2 INTERSECCION 668 URB ATENAS
Provider Second Line Business Practice Location Address:
MANATI MEDICAL CENTER SUITE 201
Provider Business Practice Location Address City Name:
MANATI
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00674-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-621-3734
Provider Business Practice Location Address Fax Number:
787-621-3251
Provider Enumeration Date:
06/07/2007