Provider First Line Business Practice Location Address:
ATENAS MEDICAL AND SHOPPING CENTER J-7
Provider Second Line Business Practice Location Address:
URB. ATENAS SUITE 7
Provider Business Practice Location Address City Name:
MANATI
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00674-0056
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-680-0400
Provider Business Practice Location Address Fax Number:
787-680-2186
Provider Enumeration Date:
06/03/2016