Provider First Line Business Practice Location Address:
CONDOMINIO CARIBE MEDICAL PLAZA
Provider Second Line Business Practice Location Address:
URB SANTA RITA PARCELAS J BO ESPINOSA SUITE M 101
Provider Business Practice Location Address City Name:
VEGA ALTA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00692-9611
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-638-5534
Provider Business Practice Location Address Fax Number:
787-915-5492
Provider Enumeration Date:
04/17/2007