Provider First Line Business Practice Location Address:
CENTRO MEDICO BO MONACILLO
Provider Second Line Business Practice Location Address:
CENTRO MEDICO BO MONACILLOS
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PUERTO RICO
Provider Business Practice Location Address Postal Code:
00936
Provider Business Practice Location Address Country Code:
UM
Provider Business Practice Location Address Telephone Number:
787-480-2700
Provider Business Practice Location Address Fax Number:
787-764-3643
Provider Enumeration Date:
10/29/2014