Provider First Line Business Practice Location Address:
EDIF MEDICO HERMANAS DAVILA
Provider Second Line Business Practice Location Address:
SUITE 202 VILLA RICA
Provider Business Practice Location Address City Name:
BAYAMON
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00959-5041
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-786-1200
Provider Business Practice Location Address Fax Number:
787-269-0077
Provider Enumeration Date:
12/27/2006