# BORINQUEN UROLOGY LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174353734
- **Authorized official:** VICTOR E OTANO-RIVERA MD (UROLOGIST (CEO))
- **Authorized official phone:** (267) 624-3578

## Contact information

- **Practice address:** METROPOLITAN OFFICE BUILDING, 153 CALLE JOSE DE DIEGO, ARECIBO, PR 00612
- **Practice address phone:** (215) 662-2891
- **Mailing address:** PO BOX 145200, ARECIBO, PR 00614-5200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |
| 261Q00000X | Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/07/2024
- **Last updated:** 10/23/2024