Provider First Line Business Practice Location Address:
CENTRO PEDIATRICO URB MONTE BEISAS
Provider Second Line Business Practice Location Address:
STE 77 CALLE F
Provider Business Practice Location Address City Name:
FAJARDO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00738
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-801-1112
Provider Business Practice Location Address Fax Number:
787-801-1116
Provider Enumeration Date:
08/31/2006