Provider First Line Business Practice Location Address:
3 JOSE MENDEZ CARDONA
Provider Second Line Business Practice Location Address:
CENTRO MEDICINA Y CIRUGIA AMBULATORIA SUITE 202
Provider Business Practice Location Address City Name:
SAN SEBASTIAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00685-9998
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-340-8175
Provider Business Practice Location Address Fax Number:
787-926-0507
Provider Enumeration Date:
04/22/2013