Provider First Line Business Practice Location Address:
UNIVERSITY PEDIATRIC HOSPITAL
Provider Second Line Business Practice Location Address:
6TH FLOOR NEONATOLOGY SECTION
Provider Business Practice Location Address City Name:
SAN JUAN
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:
787-777-3225
Provider Business Practice Location Address Fax Number:
787-758-5307
Provider Enumeration Date:
05/26/2006