Provider First Line Business Practice Location Address:
PONCE REHAB - TORRE MEDICA SAN LUCAS
Provider Second Line Business Practice Location Address:
909 TITO CASTRO AVE. SUITE 621
Provider Business Practice Location Address City Name:
PONCE
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00716
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-290-4466
Provider Business Practice Location Address Fax Number:
787-290-8866
Provider Enumeration Date:
10/19/2005