Provider First Line Business Practice Location Address:
SAN GERMAN MEDICAL PLAZA
Provider Second Line Business Practice Location Address:
SUITE 202 CARR #2 KM 174 BO CAIN BAJO
Provider Business Practice Location Address City Name:
SAN GERMAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00683
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-519-8940
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/20/2021