Provider First Line Business Practice Location Address:
CLINICA LAS AMERICAS OFFICE 109
Provider Second Line Business Practice Location Address:
AVE. ROOSEVELT #400
Provider Business Practice Location Address City Name:
HATO REY
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00918
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-478-4502
Provider Business Practice Location Address Fax Number:
787-522-2387
Provider Enumeration Date:
10/20/2006