Provider Demographics
NPI:1740278449
Name:OTERO, ANA I (MD)
Entity type:Individual
Prefix:MRS
First Name:ANA
Middle Name:I
Last Name:OTERO
Suffix:
Gender:F
Credentials:MD
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 1924
Mailing Address - Street 2:
Mailing Address - City:BARCELONETA
Mailing Address - State:PR
Mailing Address - Zip Code:00617-1924
Mailing Address - Country:US
Mailing Address - Phone:787-846-3611
Mailing Address - Fax:787-846-3611
Practice Address - Street 1:CARR. NO. 2 KM 57.9 CRUCE DAVILA
Practice Address - Street 2:
Practice Address - City:BARCELONETA
Practice Address - State:PR
Practice Address - Zip Code:00617-1924
Practice Address - Country:US
Practice Address - Phone:787-846-3611
Practice Address - Fax:787-846-0066
Is Sole Proprietor?:No
Enumeration Date:2005-10-07
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR16107208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice