Provider First Line Business Practice Location Address:
259 AVE BLVD ALFONSO VALDEZ
Provider Second Line Business Practice Location Address:
DEPTO SERVICIOS MEDICOS
Provider Business Practice Location Address City Name:
MAYAGUEZ
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00681-9000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-832-4040
Provider Business Practice Location Address Fax Number:
787-834-1538
Provider Enumeration Date:
07/12/2016