Organization
BORINQUEN UROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR E OTANO-RIVERA MD (UROLOGIST (CEO))
(267) 624-3578
Entity
Organization
Contact information
Practice address
METROPOLITAN OFFICE BUILDING, 153 CALLE JOSE DE DIEGO, ARECIBO, PR 00612
(215) 662-2891
Mailing address
PO BOX 145200, ARECIBO, PR 00614-5200
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
08/07/2024
Last updated
10/23/2024
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