Provider First Line Business Practice Location Address:
ARECIBO MEDICAL CENTER
Provider Second Line Business Practice Location Address:
SUITE 108 CARR #2 KM 80.1
Provider Business Practice Location Address City Name:
00612
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00612
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-816-6953
Provider Business Practice Location Address Fax Number:
787-816-6953
Provider Enumeration Date:
08/18/2005