Provider First Line Business Practice Location Address:
PASEO DR. JOSE CELSO BARBOSA
Provider Second Line Business Practice Location Address:
CENTRO MEDICO DE PUERTO RICO
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00936
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
939-629-7653
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/12/2020