Provider First Line Business Practice Location Address:
HOSPITAL UPR, AVE. 65 DE INFANTERIA KM. 8.3
Provider Second Line Business Practice Location Address:
PISO 1
Provider Business Practice Location Address City Name:
CAROLINA
Provider Business Practice Location Address State Name:
PUERTO RICO
Provider Business Practice Location Address Postal Code:
00984
Provider Business Practice Location Address Country Code:
UM
Provider Business Practice Location Address Telephone Number:
787-757-1800
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/19/2010