Provider First Line Business Practice Location Address:
PUERTO RICO MEDICAL CENTER
Provider Second Line Business Practice Location Address:
UNIVERSITY PEDIATRIC HOSPITAL
Provider Business Practice Location Address City Name:
RIO PIEDRAS
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:
787-777-3535
Provider Business Practice Location Address Fax Number:
787-756-8907
Provider Enumeration Date:
01/02/2008