Provider First Line Business Practice Location Address:
UNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE
Provider Second Line Business Practice Location Address:
THIRD FLOOR, OFFICE 391
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:
787-758-2525
Provider Business Practice Location Address Fax Number:
787-754-0710
Provider Enumeration Date:
08/24/2006