Provider First Line Business Practice Location Address:
CLINICA LAS AMERICAS SUITE 402
Provider Second Line Business Practice Location Address:
ROOSEVELT AVE. #400
Provider Business Practice Location Address City Name:
HATO REY
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:
787-767-2248
Provider Business Practice Location Address Fax Number:
787-766-3219
Provider Enumeration Date:
04/11/2006