Provider First Line Business Practice Location Address:
PONCE BY PASS SUITE 809
Provider Second Line Business Practice Location Address:
PUMA MEDICAL INSTITUTE
Provider Business Practice Location Address City Name:
PONCE
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00717
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-284-5299
Provider Business Practice Location Address Fax Number:
787-843-5565
Provider Enumeration Date:
11/27/2006