Provider First Line Business Practice Location Address:
UNIV OF PUERTOR RICO MED SCI CAMPUS CTR AREA
Provider Second Line Business Practice Location Address:
MAIN BLDG 9TH FL A965
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00935-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-758-2525
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/26/2011