Individual
LIDIANNIE OTERO DE LEON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
CARR 1 KM 50.2 BO BEATRIZ, CAYEY, PR 00736-0073
(787) 455-3200
Mailing address
17 VILLAS DE MONTE VERDE, CAYEY, PR 00736-9136
(787) 641-7582
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
23159
PR
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/27/2019
Last updated
10/25/2023
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