Provider First Line Business Practice Location Address:
BAYAMON MARKETPLACE LOCAL 3
Provider Second Line Business Practice Location Address:
STATE ROAD PUERTO RICO 167 KM 0.3
Provider Business Practice Location Address City Name:
BAYAMON
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00959
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-237-0008
Provider Business Practice Location Address Fax Number:
787-731-5642
Provider Enumeration Date:
02/27/2026