Provider First Line Business Practice Location Address:
3550 BISCAYNE BLVD #508
Provider Second Line Business Practice Location Address:
BORINQUEN MEDICAL CENTERS
Provider Business Practice Location Address City Name:
MIAMI
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
33137
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
305-799-1629
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/17/2017