Provider First Line Business Practice Location Address:
CARR 2 MARGINAL HERMANAS DAVILA
Provider Second Line Business Practice Location Address:
SUITE 309 METRO MEDICAL CENTER
Provider Business Practice Location Address City Name:
BAYAMON
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00959
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-780-2877
Provider Business Practice Location Address Fax Number:
787-780-2878
Provider Enumeration Date:
07/11/2006