Provider First Line Business Practice Location Address:
UNIVERSIDAD DE PUERTO RICO
Provider Second Line Business Practice Location Address:
DEPARTAMENTO MEDICINA 8VO PISO A- 838
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00935-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-759-8252
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/07/2013