Provider First Line Business Practice Location Address:
UNIV. OF PUERTO RICO, MEDICAL SCIENCES CAMPUS
Provider Second Line Business Practice Location Address:
MAIN BUILDING, 9 FLOOR, A-972, OTOLARYNGOLOGY-HNS
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00936-5067
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-765-0240
Provider Business Practice Location Address Fax Number:
787-296-1641
Provider Enumeration Date:
03/24/2006