Provider First Line Business Practice Location Address:
CARR # 2 KM. 11.7
Provider Second Line Business Practice Location Address:
2ND FLOOR AMBULATORY OPERATING ROOM
Provider Business Practice Location Address City Name:
BAYAMON
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00957
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-620-8181
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/02/2007