Provider First Line Business Practice Location Address:
1 CALLE HERNANDEZ CARRION
Provider Second Line Business Practice Location Address:
HOSPITAL MANATI MEDICAL CENTER STE 206
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:
787-854-3249
Provider Business Practice Location Address Fax Number:
787-854-2613
Provider Enumeration Date:
12/09/2014