Provider First Line Business Practice Location Address:
55 CALLE MEDITACION STE 4A
Provider Second Line Business Practice Location Address:
CENTRO DE SERVICIOS MEDICOS
Provider Business Practice Location Address City Name:
MAYAGUEZ
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00680-4848
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-834-0665
Provider Business Practice Location Address Fax Number:
787-834-0666
Provider Enumeration Date:
10/03/2006