Provider First Line Business Practice Location Address:
EDIF METROMEDICAL
Provider Second Line Business Practice Location Address:
A- 608
Provider Business Practice Location Address City Name:
BAYAMON
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00959-5053
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-395-7125
Provider Business Practice Location Address Fax Number:
787-395-7126
Provider Enumeration Date:
12/01/2006