Provider First Line Business Practice Location Address:
CLINICA LAS AMERICAS
Provider Second Line Business Practice Location Address:
400 ROOSEVELT AVE. SUITE 505
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00918
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-250-5055
Provider Business Practice Location Address Fax Number:
787-250-0511
Provider Enumeration Date:
12/18/2006