Provider First Line Business Practice Location Address:
MANATI MEDICAL CENTER DR. OTERO LOPEZ SUITE 105
Provider Second Line Business Practice Location Address:
URB. ATENAS CALLE HERNANDEZ CARRION
Provider Business Practice Location Address City Name:
MANATI
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00674
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-854-6066
Provider Business Practice Location Address Fax Number:
787-884-7217
Provider Enumeration Date:
05/23/2005