Individual
ALEXIS OTERO ROSADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MMC PROFESSIONAL PLAZA, STE 309, MANATI, PR 00674
(787) 404-3173
Mailing address
PO BOX 127, MANATI, PR 00674-0127
(787) 404-3173
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19182
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037828801
—
PR
Enumeration date
09/18/2015
Last updated
02/18/2021
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