Provider First Line Business Practice Location Address:
OFICINA MEDICO FAMILIAR CALLE A CASA #7
Provider Second Line Business Practice Location Address:
URB. VILLA MARIA #7 CALLE A
Provider Business Practice Location Address City Name:
MANATI
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00674-5940
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-226-2848
Provider Business Practice Location Address Fax Number:
787-854-6477
Provider Enumeration Date:
05/28/2009