Provider First Line Business Practice Location Address:
CENTRO MEDICO DE PR BO MONACILLOS
Provider Second Line Business Practice Location Address:
UNIVERSITY PEDIATRIC HOSPITAL
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:
787-474-0333
Provider Business Practice Location Address Fax Number:
787-777-3227
Provider Enumeration Date:
06/27/2006