Provider First Line Business Practice Location Address:
EDIFICIO DE DECANATO DE ESTUDIANTES, OFICINA 502
Provider Second Line Business Practice Location Address:
DERMATOLOGIA, RECINTO DE CIENCIAS MEDICAS, CENTRO MEDIC
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00936
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-765-7950
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/10/2012