Provider Demographics
NPI:1164708343
Name:OTERO, FRANCISCO (RN)
Entity Type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:
Last Name:OTERO
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 140261
Mailing Address - Street 2:
Mailing Address - City:ARECIBO
Mailing Address - State:PR
Mailing Address - Zip Code:00614-0261
Mailing Address - Country:US
Mailing Address - Phone:787-878-1548
Mailing Address - Fax:787-880-0832
Practice Address - Street 1:JOSE RODRIGUEZ IRIZARRY #152
Practice Address - Street 2:
Practice Address - City:ARECIBO
Practice Address - State:PR
Practice Address - Zip Code:00612-4625
Practice Address - Country:US
Practice Address - Phone:787-878-1548
Practice Address - Fax:787-880-0832
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-01
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR26730163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse