Provider First Line Business Practice Location Address:
CENTRO MEDICO EPISCOPAL SAN LUCAS AVE. TITO CASTRO 917
Provider Second Line Business Practice Location Address:
CLINICAS EXTERNA DISCIPLINARIA, LOBBY C
Provider Business Practice Location Address City Name:
PONCE
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00731
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
939-638-2919
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/24/2013