Provider First Line Business Practice Location Address:
AVE. LUIS MUNOZ MARIN NO. 50
Provider Second Line Business Practice Location Address:
QUADRANGLE MEDICAL CENTER, SUITE 204
Provider Business Practice Location Address City Name:
CAGUAS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00725-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-743-1507
Provider Business Practice Location Address Fax Number:
787-743-5070
Provider Enumeration Date:
08/30/2006