Provider First Line Business Practice Location Address:
UNIV OF P R MEDICAL SCIENCES CAMPUS
Provider Second Line Business Practice Location Address:
DEPARTMENT OF PSYCHIATRY 9TH FLOOR OFFICE, OFFICE A-994
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:
787-758-2525
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
09/03/2009