Provider First Line Business Practice Location Address:
UNIVERSITY OF PUERTO RICO
Provider Second Line Business Practice Location Address:
MEDICAL CAMPUS DEPARTMENT OD PSHYCHIATRY 9 FLOOR
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00936-5067
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:
Provider Enumeration Date:
04/23/2007