Provider First Line Business Practice Location Address:
SER DE PUERTO RICO
Provider Second Line Business Practice Location Address:
URB PEREZ MORRIS # 500 CALLE BAEZ
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00917
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-767-6710
Provider Business Practice Location Address Fax Number:
787-758-0950
Provider Enumeration Date:
08/06/2024