Provider First Line Business Practice Location Address:
AVE EL SIBARO D INDUSTRIAL
Provider Second Line Business Practice Location Address:
CENTRO SALUD FAMILIAR HOSPITAL MENONITA
Provider Business Practice Location Address City Name:
CIDRA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00739
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-739-7911
Provider Business Practice Location Address Fax Number:
787-714-0410
Provider Enumeration Date:
12/20/2006