Provider First Line Business Practice Location Address:
CARIMED PLAZA B1 SUITE 406
Provider Second Line Business Practice Location Address:
CALLE SANTA CRUZ
Provider Business Practice Location Address City Name:
BAYAMON
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00961-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-779-6896
Provider Business Practice Location Address Fax Number:
787-779-6805
Provider Enumeration Date:
11/29/2012