Provider First Line Business Practice Location Address:
CEUTRO SALUD FFANIELIAR DE GABUCOA
Provider Second Line Business Practice Location Address:
CARRETERA 901
Provider Business Practice Location Address City Name:
GABUCOA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00767
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-893-0480
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/13/2006