Provider First Line Business Practice Location Address:
CONSULTORIO MEDICO EL BUEN SAMARITANO CARRETERA 183
Provider Second Line Business Practice Location Address:
CARRETERA 183 KM 10.7 BO. QUEMADOS
Provider Business Practice Location Address City Name:
SAN LORENZO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00754
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-736-8436
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/21/2005