Provider First Line Business Practice Location Address:
CENTRO MEDICO DE PUERTO RICO
Provider Second Line Business Practice Location Address:
BO MONACILLOS CARR 22
Provider Business Practice Location Address City Name:
RIO PIEDRAS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00976
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-765-7950
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/18/2016