Provider First Line Business Practice Location Address:
259 ALFONSO VALDEZ BLVD.
Provider Second Line Business Practice Location Address:
HEALTH SERVICES DEPARTMENT RUM
Provider Business Practice Location Address City Name:
MAYAGUEZ
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00680
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-265-3865
Provider Business Practice Location Address Fax Number:
787-834-1538
Provider Enumeration Date:
03/21/2007