Provider First Line Business Practice Location Address:
CARR. PR 3 KM 1 HM 9
Provider Second Line Business Practice Location Address:
EAST MEDICAL & PROFESSIONAL CENTER SUITE
Provider Business Practice Location Address City Name:
CANOVAS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00729
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-256-5555
Provider Business Practice Location Address Fax Number:
787-256-5454
Provider Enumeration Date:
01/27/2021