Provider First Line Business Practice Location Address:
CARR. 2 KM 174 BO CAIN BAJO
Provider Second Line Business Practice Location Address:
SAN GERMAN MEDICAL PLAZA SUITE 214 BUZON 25715
Provider Business Practice Location Address City Name:
SAN GERMAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00683
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-264-3993
Provider Business Practice Location Address Fax Number:
787-264-3993
Provider Enumeration Date:
03/30/2006