Individual
YOMAYRA OTERO-DOMINGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10 CALLE CASIA, SAN JUAN, PR 00921-3200
(787) 641-7582
Mailing address
PO BOX 4181, CAROLINA, PR 00984-4181
(787) 550-4888
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
19095
PR
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
19095
PR
207RP1001X
Pulmonary Disease Physician
19095
PR
390200000X
Student in an Organized Health Care Education/Training Program
19095
PR
Other
Enumeration date
09/16/2013
Last updated
04/01/2022
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