Provider First Line Business Practice Location Address:
EDIF MEDICO DR. PEDRO BLANCO LUGO
Provider Second Line Business Practice Location Address:
SUITE 311
Provider Business Practice Location Address City Name:
MANATI
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00674
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-884-5107
Provider Business Practice Location Address Fax Number:
787-884-0819
Provider Enumeration Date:
08/10/2006