Provider First Line Business Practice Location Address:
COSTA SALUD COMMUNITY HEALTH CENTERS
Provider Second Line Business Practice Location Address:
CALLE #124 CALAZAN LASALLE
Provider Business Practice Location Address City Name:
MOCA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00676
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-815-5500
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/06/2018