Provider First Line Business Practice Location Address:
TORRE MEDICA SAN LUCAS
Provider Second Line Business Practice Location Address:
909 AVE. TITO CASTRO, SUITE #510
Provider Business Practice Location Address City Name:
PONCE
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00716
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-259-7293
Provider Business Practice Location Address Fax Number:
787-840-6679
Provider Enumeration Date:
06/09/2008