Provider First Line Business Practice Location Address:
CARIBEAN MEDICAL CENTER AVE OSVALDO MOLINA
Provider Second Line Business Practice Location Address:
SUITE 102
Provider Business Practice Location Address City Name:
FAJARDO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00738
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-860-0965
Provider Business Practice Location Address Fax Number:
787-860-2169
Provider Enumeration Date:
07/18/2008