Provider First Line Business Practice Location Address:
B-1 CALLE SANTA CRUZ
Provider Second Line Business Practice Location Address:
CARIMED PLAZA SUITE 201
Provider Business Practice Location Address City Name:
BAYAMON
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00961-6943
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-294-9955
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/17/2014