Provider First Line Business Practice Location Address:
JOSE CANDELAS, #1, MANATI MEDICAL PLAZA
Provider Second Line Business Practice Location Address:
SUITE 109
Provider Business Practice Location Address City Name:
MANATI
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00674
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-309-9417
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/21/2024