Provider First Line Business Practice Location Address:
UNIVERSITY DISTRICT HOSPITAL - 3RD FLOOR
Provider Second Line Business Practice Location Address:
MEDICAL CENTER OF PUERTO RICO, BO. MONACILLOS
Provider Business Practice Location Address City Name:
RIO PIEDRAS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00935
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-754-0101
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/15/2008