Provider First Line Business Practice Location Address:
CENTRO MEDICO SAN PABLO
Provider Second Line Business Practice Location Address:
EDIFICIO DR ARTURO CADILLA, SUITE 102
Provider Business Practice Location Address City Name:
BAYAMON
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00960
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-269-2442
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/09/2014