Provider First Line Business Practice Location Address:
PPMI-RCM AVE. AMERICO MIRANDA APTDO. 19134
Provider Second Line Business Practice Location Address:
CENTRO MEDICO DE PR EDIF PRINCIPAL ESCUELA DE MEDICINA
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00929
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:
787-754-0474
Provider Enumeration Date:
01/29/2007