Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 15843 | PR |
NPI | 1013968973 |
---|---|
Provider Name | Dr. Francisco J Otero Lopez |
First Address | San Juan, PR 00936-5067 |
Second Address | San Juan, PR 00926 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2006 |
Last Update Date | 26/03/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
10166110 | (05) | VA |
185030 | ANTHEM (01) | VA |
I31464 | (02) |