Provider First Line Business Practice Location Address:
STREET 2 KM 80.1 ARECIBO MEDICAL CENTER
Provider Second Line Business Practice Location Address:
SUITE 204
Provider Business Practice Location Address City Name:
ARECIBO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00612
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-878-3039
Provider Business Practice Location Address Fax Number:
787-878-4038
Provider Enumeration Date:
08/16/2006