Provider First Line Business Practice Location Address:
CONSOLIDATED MEDICAL PLAZA CALLE GAUTIER BENITEZ
Provider Second Line Business Practice Location Address:
PRIMER PISO
Provider Business Practice Location Address City Name:
CAGUAS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00725
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-744-0330
Provider Business Practice Location Address Fax Number:
787-746-0165
Provider Enumeration Date:
01/23/2006