Provider First Line Business Practice Location Address:
COND MEDICAL CENTER PLZ STE 213
Provider Second Line Business Practice Location Address:
740 AVE. HOSTOS
Provider Business Practice Location Address City Name:
MAYAGUEZ
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00682-1539
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-810-3144
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/27/2014