Provider First Line Business Practice Location Address:
UDH P.R. MEDICAL CENTER
Provider Second Line Business Practice Location Address:
DEPTO DE FARMACIA, BARRIO MONACILLOS
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00922-2116
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-754-0101
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/08/2006