Provider First Line Business Practice Location Address:
PASEO DR. JOSE CELSO BARBOSA, CLL 62
Provider Second Line Business Practice Location Address:
UNIVERSITY OF PUERTO RICO MEDICAL SCIENCE CAMPUS
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PUERTO RICO
Provider Business Practice Location Address Postal Code:
00921
Provider Business Practice Location Address Country Code:
UM
Provider Business Practice Location Address Telephone Number:
787-758-2525
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/19/2018