Provider First Line Business Practice Location Address:
UNIVERSIDAD DE PUERTO RICO, RCM, AREA CENTRO MEDICO
Provider Second Line Business Practice Location Address:
EDIF ESCUELA DE PROFESIONES DE SALUD, PISO 6, OFF 644
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:
787-758-2525
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/05/2007