Provider First Line Business Practice Location Address:
MAYAGUEZ MEDICAL CENTER SUITE 121
Provider Second Line Business Practice Location Address:
AVE. HOSTOS 621 BO. SABALOS CARR# 2
Provider Business Practice Location Address City Name:
MAYAGUEZ
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00682
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-639-0200
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/03/2013