Provider First Line Business Practice Location Address:
CENTRO DE DIABETES PARA PUERTO RICO
Provider Second Line Business Practice Location Address:
PISO 1 EDIF. FARMACIA RCM, CENTRO MEDICO DE PR
Provider Business Practice Location Address City Name:
RIO PIEDRAS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00935
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-773-8283
Provider Business Practice Location Address Fax Number:
787-773-8303
Provider Enumeration Date:
12/09/2005