Provider First Line Business Practice Location Address:
DR JOSE CELSO BARBOSA DRIVE
Provider Second Line Business Practice Location Address:
RECINTO CIENCIAS MEDICAS, UPR
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00921
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
801-362-6791
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/04/2016