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Individual

LESLIE OTERO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
CALLE STA. AGUEDA, SAN JUAN, PR 00926
(787) 692-2007
Mailing address
PO BOX 563, CIALES, PR 00638-0563

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
328PA
PR
363AM0700X
Medical Physician Assistant
Primary
328
PR
363AM0700X
Medical Physician Assistant
328PA
PR

Other

Enumeration date
02/12/2024
Last updated
04/16/2026
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