Organization
HELWE CSP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAUL OTOMAN M.D. (ADMINISTRATOR)
(787) 820-0707
Entity
Organization
Contact information
Practice address
CARR 119 KN 9.0, CAMUY, PR 00627
(787) 820-0707
(787) 544-7806
Mailing address
PO BOX 1749, HATILLO, PR 00659-8749
(787) 820-0707
(787) 544-7806
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
12641
PR
Other
Enumeration date
05/28/2010
Last updated
05/28/2010
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