Provider First Line Business Practice Location Address:
UNIVERSITY PEDIATRIC HOSPITAL
Provider Second Line Business Practice Location Address:
CARR 22 BO MONACILLO
Provider Business Practice Location Address City Name:
RIO PIEDRAS
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00935
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-777-3232
Provider Business Practice Location Address Fax Number:
787-756-8907
Provider Enumeration Date:
01/16/2007