Provider First Line Business Practice Location Address:
CENTRO DE MEDICINA FAMILIAR CARR 2
Provider Second Line Business Practice Location Address:
KM 29. 2 BO ESPINOSA
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:
787-626-9117
Provider Business Practice Location Address Fax Number:
787-626-3619
Provider Enumeration Date:
01/15/2014