Provider First Line Business Practice Location Address:
K 11.7 CARR. NUM. 2
Provider Second Line Business Practice Location Address:
CT RADIOLOGY BLDG.
Provider Business Practice Location Address City Name:
BAYAMON
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00959
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-787-0415
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/05/2007