Individual
DR. JUAN CARLOS GALLOZA OTERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
TORRE SAN VICENTE DE PAUL 1ST FLOOR, CARR 2 KM 173, SAN GERMAN, PR 00683-0001
(787) 892-1860
(787) 892-3810
Mailing address
154 PASEO CIELO Y MAR, VISTA BAHIA, PENUELAS, PR 00624-9756
(787) 509-9725
(787) 892-3810
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
R0234
TX
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Primary
21007
PR
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
R0234
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8GD142
BCBS
TX
Enumeration date
11/14/2011
Last updated
10/24/2018
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