Provider First Line Business Practice Location Address:
HOSPITAL DEL NINO DE PUERTO RICO
Provider Second Line Business Practice Location Address:
APARTADO 2124
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00922-2124
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-783-2226
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/24/2010