Provider First Line Business Practice Location Address:
118 ELEONOR ROOSEVELT
Provider Second Line Business Practice Location Address:
INTERAMERICAN UNIV. OF PR SCHOOL OF OPTOMETRY
Provider Business Practice Location Address City Name:
HATO REY
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00918
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-765-1915
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/10/2006