Individual
REYNALDO OTERO SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
THL
Contact information
Practice address
214 URB VILLA PINARES, PASEO CIPRES, VEGA BAJA, PR 00693
(939) 254-0060
Mailing address
214 URB VILLA PINARES, PASEO CIPRES, VEGA BAJA, PR 00693
(939) 254-0060
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
7217
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7217
THL
PR
Enumeration date
07/29/2019
Last updated
08/11/2021
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