Provider First Line Business Practice Location Address:
HOSPITAL DR. CAYETANO COLL Y TOSTE, CARR. #129, KM. 1
Provider Second Line Business Practice Location Address:
AVENIDA SAN LUIS, SUITE #120
Provider Business Practice Location Address City Name:
ARECIBO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00612
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-878-3501
Provider Business Practice Location Address Fax Number:
787-880-7232
Provider Enumeration Date:
03/17/2006