Provider First Line Business Practice Location Address:
UNIVERSITY OF PUERTO RICO MEDICAL SCIENCES CAMPUS
Provider Second Line Business Practice Location Address:
DEPT.. OF MEDICINE OFFICE A-838
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00935-0000
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:
08/21/2007