Provider First Line Business Practice Location Address:
CONCILIO DE SALUD INTEGRAL APARTADO 509 CARR188 - 187
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LOIZA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00772
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-876-2042
Provider Business Practice Location Address Fax Number:
787-256-1900
Provider Enumeration Date:
12/28/2006