Provider First Line Business Practice Location Address:
CARR. 129 KM. 8, SAN LUIS
Provider Second Line Business Practice Location Address:
HOSPITAL PAVIA, SUITE 104
Provider Business Practice Location Address City Name:
ARECIBO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00613
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-650-7272
Provider Business Practice Location Address Fax Number:
787-650-7248
Provider Enumeration Date:
08/01/2007