Provider First Line Business Practice Location Address: 
TORRE MEDICA 1 CARR #2
    Provider Second Line Business Practice Location Address: 
DOCTORS' CENTER HOSPITAL SUITE 211
    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: 
787-884-8686
    Provider Business Practice Location Address Fax Number: 
866-444-8389
    Provider Enumeration Date: 
02/09/2007