Provider First Line Business Practice Location Address:
UNIVERSITY OF PUERTO RICO RIO PIEDRAS
Provider Second Line Business Practice Location Address:
MEDICAL SCIENCES CAMPUS PSYCHIATRY DEPARTMENT 9TH 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:
787-766-0940
Provider Business Practice Location Address Fax Number:
787-766-0940
Provider Enumeration Date:
08/08/2006