Provider Demographics
NPI:1013968973
Name:OTERO LOPEZ, FRANCISCO J (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANCISCO
Middle Name:J
Last Name:OTERO LOPEZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:ORTOPEDIA RCM
Mailing Address - Street 2:PO BOX 365067
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-5067
Mailing Address - Country:US
Mailing Address - Phone:787-764-5095
Mailing Address - Fax:787-620-8949
Practice Address - Street 1:ORTOPEDIA RCM
Practice Address - Street 2:CENTRO MEDICO DE PUERTO RICO, BO MONACILLOS CARR 22
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-764-5095
Practice Address - Fax:787-620-8949
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2013-03-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PR15843207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA10166110Medicaid
VA185030OtherANTHEM
VA185030OtherANTHEM
I31464Medicare UPIN