Provider First Line Business Practice Location Address:
EDIFICIO ARECIBO MEDICAL PLAZA
Provider Second Line Business Practice Location Address:
AVE. JOSE CELSO BARBOSA #65, SUITE 103
Provider Business Practice Location Address City Name:
ARECIBO
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00612-0061
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-562-5757
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/21/2022