Provider First Line Business Practice Location Address:
UNIVERSITY DISTRICT HOSPITAL
Provider Second Line Business Practice Location Address:
PUERTO RICO MEDICAL CENTER
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00935-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-754-0101
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/17/2015