Provider First Line Business Practice Location Address:
MEDICAL SCIENCE CAMPUS
Provider Second Line Business Practice Location Address:
UNIVERSITY OF PUERTO RICO
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00907
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
267-810-8151
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/08/2025