Provider First Line Business Practice Location Address:
AVE. 65 DE INFANTERIA, KM. 8.3
Provider Second Line Business Practice Location Address:
HOSPITAL UNIVERSITARIO UPR (DR. FEDERICO TRILLA)LEVEL B
Provider Business Practice Location Address City Name:
CAROLINA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00984
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-249-4499
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/14/2013