Provider First Line Business Practice Location Address:
CARR 3 KM 8.3 65 DE INFANTERIA AVE.
Provider Second Line Business Practice Location Address:
HOSPITAL DE LA UPR DR. FEDERICO TRILLA
Provider Business Practice Location Address City Name:
CAROLINA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00984
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-757-1800
Provider Business Practice Location Address Fax Number:
787-757-1806
Provider Enumeration Date:
02/01/2007