Individual
EDNA I OTERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
AVE. LUIS MUNOZ RIVERA 91, SANTA ISABEL, PR 00757
(787) 845-1188
(787) 845-1188
Mailing address
PO BOX 1195, SANTA ISABEL, PR 00757-1195
(787) 648-5514
(787) 845-1188
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
17041
PR
Other
Enumeration date
02/04/2009
Last updated
02/04/2009
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