Provider First Line Business Practice Location Address:
COND MEDICAL CENTER PLAZA
Provider Second Line Business Practice Location Address:
1051 CALLE 3 SE APT 1006
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00921
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
939-940-6971
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/24/2022