Provider First Line Business Practice Location Address:
CARR 2 KM 174 SAN GERMAN MEDICAL PLAZA
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN GERMAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00683
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-892-4590
Provider Business Practice Location Address Fax Number:
787-892-4595
Provider Enumeration Date:
08/02/2006