Organization
MOGAVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL OTERO (PRESIDENT)
(787) 460-8328
Entity
Organization
Contact information
Practice address
CARR 165 KM 0, SUITE 1010 CITY VIEW PLAZA II, GUAYNABO, PR 00968-0096
(787) 460-8328
Mailing address
31 COBANA ST, URB LADERAS DE SAN JUAN, SAN JUAN, PR 00926-9314
(787) 460-8328
(787) 474-8328
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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