Provider First Line Business Practice Location Address:
CENTRO SALUD MENTAL MAYAGUEZ
Provider Second Line Business Practice Location Address:
410 AVE. HOSTOS SUITE 7
Provider Business Practice Location Address City Name:
MAYAGUEZ
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00682-1522
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-833-3675
Provider Business Practice Location Address Fax Number:
787-831-2095
Provider Enumeration Date:
06/26/2007