Provider First Line Business Practice Location Address:
DEPT. OF PEDIATRICS, UPR SCHOOL OF MEDICINE
Provider Second Line Business Practice Location Address:
GPO 5067
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:
787-777-3535
Provider Business Practice Location Address Fax Number:
787-759-8193
Provider Enumeration Date:
02/21/2006