Provider First Line Business Practice Location Address:
PR RENAL HEALTH
Provider Second Line Business Practice Location Address:
BUILDING OFFICE PARK IV, #201 STREET ROAD #2 KM 156.5
Provider Business Practice Location Address City Name:
MAYAGUEZ
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00680
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-986-5050
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/05/2007