Provider First Line Business Practice Location Address:
HERNANDEZ CARRION ST MANATI MEDICAL CENTER
Provider Second Line Business Practice Location Address:
SUITE 113, URB. ATENAS
Provider Business Practice Location Address City Name:
MANATI
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00674
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-621-5555
Provider Business Practice Location Address Fax Number:
787-621-5564
Provider Enumeration Date:
08/10/2006