Individual
YARED OTERO LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
CARR. 941 SALIDA BO. JAGUAS, GURABO, PR 00778-0077
(787) 737-2311
Mailing address
HC 45 BOX 10385, CAYEY, PR 00736-3029
(787) 941-7985
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
87017
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
87017
—
PR
Enumeration date
11/22/2022
Last updated
11/22/2022
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