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Individual

ROSANA OTANO LOPEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
TORRE SAN VICENTE DE PAUL, SUITE 510, SAN GERMAN, PR 00683-0327
(787) 346-6763
(787) 892-1920
Mailing address
PO BOX 327, LARES, PR 00669-0327
(787) 346-6763

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
17419
PR

Other

Enumeration date
01/02/2009
Last updated
07/21/2009
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