Provider First Line Business Practice Location Address:
MAYAGUEZ MEDICAL CENTER
Provider Second Line Business Practice Location Address:
HOSTOS AVE RD #2 1ST FLOOR STE 103
Provider Business Practice Location Address City Name:
MAYAGUEZ
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00680
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-652-9200
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/07/2019