Provider First Line Business Practice Location Address:
3 CALLE MATADERO SUR
Provider Second Line Business Practice Location Address:
CORPORACION PUERTORRIQUENA DE SALUD
Provider Business Practice Location Address City Name:
GURABO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00778
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-653-5353
Provider Business Practice Location Address Fax Number:
787-653-5364
Provider Enumeration Date:
11/20/2017