Provider First Line Business Practice Location Address:
UNIVERSITY HOSPITAL. GENERAL SURGERY. 3RD FLOOR
Provider Second Line Business Practice Location Address:
MEDICAL SCIENCES CAMPUS. 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:
00936-5067
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:
05/29/2007