Provider First Line Business Practice Location Address:
PASEO JOSE C BARBOSA
Provider Second Line Business Practice Location Address:
HOSP PEDIATRICO UNIVERSITARIO
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:
787-434-0333
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/20/2026