Organization
GRUPO MEDICO OTOAO, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE M RIVERA (MD)
(787) 938-8447
Entity
Organization
Contact information
Practice address
CARR 455, KM 2.0 BO QUEBRADA, CAMUY, PR 00627
(787) 938-8447
Mailing address
PO BOX 3190, ARECIBO, PR 00613-3190
(787) 938-8447
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
261Q00000X
Clinic/Center
15206
PR
261QH0100X
Health Service Clinic/Center
15206
PR
Other
Enumeration date
07/05/2012
Last updated
12/05/2023
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