Provider First Line Business Practice Location Address:
METRO MEDICAL CENTER SUITE A102
Provider Second Line Business Practice Location Address:
TORRE A995 PR2
Provider Business Practice Location Address City Name:
BAYAMON
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00959-7200
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-615-9014
Provider Business Practice Location Address Fax Number:
939-204-6567
Provider Enumeration Date:
07/17/2016