Provider First Line Business Practice Location Address:
UNIVERSITY PEDIATRIC HOSPITAL
Provider Second Line Business Practice Location Address:
DEPARTMENT OF PEDIATRICS OFFICE 1A-29
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:
787-756-4010
Provider Business Practice Location Address Fax Number:
787-777-3227
Provider Enumeration Date:
03/06/2007