# MOGAVE LLC

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

## Provider details

- **NPI number:** 1386445096
- **Authorized official:** DR. MICHAEL OTERO (PRESIDENT)
- **Authorized official phone:** (787) 460-8328

## Contact information

- **Practice address:** CARR 165 KM 0, SUITE 1010 CITY VIEW PLAZA II, GUAYNABO, PR 00968-0096
- **Practice address phone:** (787) 460-8328
- **Mailing address:** 31 COBANA ST, URB LADERAS DE SAN JUAN, SAN JUAN, PR 00926-9314
- **Mailing address phone:** (787) 460-8328
- **Mailing address fax:** (787) 474-8328

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/20/2025
- **Last updated:** 03/20/2025