Provider First Line Business Practice Location Address:
CARR. NO.2 KM.8.2 BO. JUAN SANCHEZ
Provider Second Line Business Practice Location Address:
ANTIGUO HOSPITAL MEPSI CENTER
Provider Business Practice Location Address City Name:
BAYAMON
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00969-7087
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-914-9167
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/18/2024