Provider First Line Business Practice Location Address:
BO. MONACILLOS CENTRO MEDICO
Provider Second Line Business Practice Location Address:
RIO PIEDRAS
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00936
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-480-2700
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/25/2011