Provider First Line Business Practice Location Address:
UNIVERSIDAD DE PUERTO RICO , SCHOOL OF MEDICINE
Provider Second Line Business Practice Location Address:
MEDICAL SCIENCES CAMPUS OFFICE 394
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00921-6481
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-777-3535
Provider Business Practice Location Address Fax Number:
787-754-0710
Provider Enumeration Date:
02/01/2006