Provider First Line Business Practice Location Address:
DENTAL MEDICINE SCHOOL A-125
Provider Second Line Business Practice Location Address:
UPR MEDICAL SCIENCES CAMPUS
Provider Business Practice Location Address City Name:
RIO PIEDRAS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00936-5067
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:
787-751-0858
Provider Enumeration Date:
09/03/2010