Provider First Line Business Practice Location Address: 
CENTRO COMERCIAL JARDINES DE NARANJITO
    Provider Second Line Business Practice Location Address: 
APS CLINICS OF PR
    Provider Business Practice Location Address City Name: 
NARANJITO
    Provider Business Practice Location Address State Name: 
PR
    Provider Business Practice Location Address Postal Code: 
00719
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
787-641-0774
    Provider Business Practice Location Address Fax Number: 
787-641-0776
    Provider Enumeration Date: 
03/04/2008