Provider First Line Business Practice Location Address:
HOSP CALLETANO COLL T TOSTE
Provider Second Line Business Practice Location Address:
SUITE 105 CARR 129 AVE SAN LUIS
Provider Business Practice Location Address City Name:
ARECIBO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00613
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-878-7272
Provider Business Practice Location Address Fax Number:
787-848-0318
Provider Enumeration Date:
12/06/2006