Provider First Line Business Practice Location Address:
65 INFANTERIA AV. KM. 8.3
Provider Second Line Business Practice Location Address:
HOSPITAL UPR FIRST FLOOR
Provider Business Practice Location Address City Name:
CAROLINA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00984
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-633-0017
Provider Business Practice Location Address Fax Number:
787-710-9886
Provider Enumeration Date:
10/07/2005