Provider First Line Business Practice Location Address:
CENTRO MEDICO DE PUERTO RICO , DPT. PEDIATRIA
Provider Second Line Business Practice Location Address:
AVE. AMERICO MIRANDA
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:
787-777-3227
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/24/2006