Provider First Line Business Practice Location Address:
HOSPITAL UNIVESITARIO
Provider Second Line Business Practice Location Address:
CENTRO MEDICO
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00926
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-754-0101
Provider Business Practice Location Address Fax Number:
787-268-7271
Provider Enumeration Date:
04/29/2008