Provider First Line Business Practice Location Address:
CANAS MEDICAL CENTER PLAZA GABRIELA CARR 132
Provider Second Line Business Practice Location Address:
KM22.1 BO CANAS
Provider Business Practice Location Address City Name:
PONCE
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00728
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-212-3939
Provider Business Practice Location Address Fax Number:
787-812-3931
Provider Enumeration Date:
06/16/2021