Provider First Line Business Practice Location Address:
CARR BAVARO, EDIFRICIO CENTRO MEDICO PUNTA CANA
Provider Second Line Business Practice Location Address:
E/ FRIUSA Y PLAZA BAVARO
Provider Business Practice Location Address City Name:
BAVARO
Provider Business Practice Location Address State Name:
LA ALTAGRACIA
Provider Business Practice Location Address Postal Code:
23000
Provider Business Practice Location Address Country Code:
DO
Provider Business Practice Location Address Telephone Number:
809-552-1506
Provider Business Practice Location Address Fax Number:
809-552-1974
Provider Enumeration Date:
04/17/2008