Provider First Line Business Practice Location Address:
CARR 693 KM 14.7 SECTOR BRENAS
Provider Second Line Business Practice Location Address:
LABORATON CLINIC SAN VICENTE V
Provider Business Practice Location Address City Name:
VEGA ALTA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00692
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-915-7700
Provider Business Practice Location Address Fax Number:
787-915-7700
Provider Enumeration Date:
06/18/2008