Provider First Line Business Practice Location Address:
ROAD 2 KM 47.8 DOCTORS CENTER HOSP
Provider Second Line Business Practice Location Address:
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:
787-621-3329
Provider Business Practice Location Address Fax Number:
787-621-3328
Provider Enumeration Date:
02/23/2006