Provider First Line Business Practice Location Address:
BARRIO MONACILLOS CARRETERA 22 CENTRO MEDICO
Provider Second Line Business Practice Location Address:
HOSPITAL PEDIATRICO UNIVERSITARIO DR. ANTONIO ORTIZ
Provider Business Practice Location Address City Name:
SAN JUAN
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00935-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-753-6390
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/03/2021