Individual
MR. JOSE GABRIEL OTERO CLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
25 RES VIRGILIO DAVILA APTO. 263, BAYAMON, PR 00961
(787) 516-0308
Mailing address
25 RES VIRGILIO DAVILA APTO. 263, BAYAMON, PR 00961
(787) 516-0308
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
029694
PR
Other
Enumeration date
04/03/2025
Last updated
04/03/2025
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