Provider First Line Business Practice Location Address:
UPR SCHOOL OF MEDICINE, DEPT OF PEDIATRICS
Provider Second Line Business Practice Location Address:
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:
787-777-3225
Provider Business Practice Location Address Fax Number:
787-758-5307
Provider Enumeration Date:
03/23/2006