Provider First Line Business Practice Location Address:
CARR 2 KM 12.3
Provider Second Line Business Practice Location Address:
METRO MEDICAL CENTER TORRE A SUITE 102
Provider Business Practice Location Address City Name:
BAYAMON
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00956
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-360-9797
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/20/2017