Provider First Line Business Practice Location Address:
CPETE CLINICA INMUNOLOGICA DE CENTRO MEDICO
Provider Second Line Business Practice Location Address:
BO. MONCAILLOS PASEO BARBOSA
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00936
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-754-8118
Provider Business Practice Location Address Fax Number:
787-754-8127
Provider Enumeration Date:
06/04/2007