Provider First Line Business Practice Location Address:
CARIBE MEDICAL PLAZA MARGINAL SANTA RITA
Provider Second Line Business Practice Location Address:
SUITE 206
Provider Business Practice Location Address City Name:
VEGA ALTA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00692
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-727-0542
Provider Business Practice Location Address Fax Number:
787-270-0165
Provider Enumeration Date:
10/12/2006