Provider First Line Business Practice Location Address:
CARR #2 KM 45.2
Provider Second Line Business Practice Location Address:
BO CANTRA, APS CLINICS OF PR INC MANATI
Provider Business Practice Location Address City Name:
MANATI
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00674
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:
787-641-2759
Provider Enumeration Date:
06/07/2006