Provider First Line Business Practice Location Address:
#68 CALLE SANTA CRUZ OFFICE
Provider Second Line Business Practice Location Address:
SAN PABLO PATHOLOGY GROUP 403-404 TORRE SAN PABLO
Provider Business Practice Location Address City Name:
BAYAMON
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00961
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-787-9481
Provider Business Practice Location Address Fax Number:
787-787-9533
Provider Enumeration Date:
06/14/2006