Provider First Line Business Practice Location Address:
HOSPITAL UNIVERSITARIA
Provider Second Line Business Practice Location Address:
AVENIDA OSTOS 410
Provider Business Practice Location Address City Name:
MAYAGUEZ
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00681
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-833-3695
Provider Business Practice Location Address Fax Number:
787-833-3695
Provider Enumeration Date:
05/25/2007