Provider First Line Business Practice Location Address:
CALLE GEORGETTI # 122
Provider Second Line Business Practice Location Address:
AMBULATORY MEDICAL SERVICES
Provider Business Practice Location Address City Name:
RIO PIEDRAS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00985
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-758-1718
Provider Business Practice Location Address Fax Number:
787-758-1718
Provider Enumeration Date:
09/01/2006