Organization
BROKEN BONE ORTHO CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAFAEL OTERO MD (PRESIDENT)
(787) 756-6999
Entity
Organization
Contact information
Practice address
369 CALLE DE DIEGO STE 202, TORRE SAN FRANCISCO, SAN JUAN, PR 00923-3004
(787) 756-6999
(787) 765-7880
Mailing address
PO BOX 366905, SAN JUAN, PR 00936-6905
(787) 756-6999
(787) 765-7880
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
4470
PR
Other
Enumeration date
12/16/2009
Last updated
08/10/2011
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