Provider First Line Business Practice Location Address:
HOSPITAL PEDIATRICO UNIVERSITARIO
Provider Second Line Business Practice Location Address:
CENTRO MEDICO DE PUERTO RICO
Provider Business Practice Location Address City Name:
RIO PIEDRAS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00919-1079
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-763-0550
Provider Business Practice Location Address Fax Number:
787-763-1093
Provider Enumeration Date:
02/07/2007