Provider First Line Business Practice Location Address:
CALLE F VEGAS JIMENEZ
Provider Second Line Business Practice Location Address:
MANATI MEDICAL CENTER
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:
310-926-8524
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/23/2008