Provider First Line Business Practice Location Address:
CLINICA DE LA ESCUELA DE MEDICINA
Provider Second Line Business Practice Location Address:
REPARTO METROPOLITANO SHOPPING, AVE. AMERICO MIRANDA
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:
787-765-8276
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/28/2006