Individual
ANTONIO MANUEL OTERO LOPEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
CLINICA DE LA ESCUELA DE MEDICINA, REPARTO METROPOLITANO SHOPPING, AVE. AMERICO MIRANDA, RIO PIEDRAS, PR 00921
(787) 764-5095
Mailing address
ORTOPEDIA RCM, PO BOX 29134, SAN JUAN, PR 00929-0134
(787) 764-5095
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
13393
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13393
STATE LICENSE
PR
Enumeration date
08/23/2006
Last updated
03/19/2013
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