Provider First Line Business Practice Location Address:
95 BARBOSA ST
Provider Second Line Business Practice Location Address:
ARECIBO MEDICAL PLAZA SUITE 203
Provider Business Practice Location Address City Name:
ARECIBO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00606
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-452-1277
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/02/2007