Provider First Line Business Practice Location Address:
CENTRO DE SALUD FAMILIAR MENONITA CARR. 172 AVE. EL
Provider Second Line Business Practice Location Address:
JIBARO KM.3.3 OFICINA 107
Provider Business Practice Location Address City Name:
CIDRA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00739
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-714-0144
Provider Business Practice Location Address Fax Number:
787-714-0230
Provider Enumeration Date:
03/23/2006