Provider First Line Business Practice Location Address:
CARR 129 KM 0.1 AVE SAN LUIS
Provider Second Line Business Practice Location Address:
DR. SUSONI HEALTH COMMUNITY SERVICE, CORP.
Provider Business Practice Location Address City Name:
ARECIBO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00612
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-650-7272
Provider Business Practice Location Address Fax Number:
787-650-7248
Provider Enumeration Date:
02/19/2016