Provider First Line Business Practice Location Address:
101-199 CALLE CORCHADO FINAL
Provider Second Line Business Practice Location Address:
CLINICAS PM&R CDT CANOVANAS
Provider Business Practice Location Address City Name:
CANOVANAS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00729-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
939-439-6449
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/03/2006