| Estudio Dental Otero Loperena Llc | |
|
36 Carr 2 Ste 302 Vega Alta PR 00692-6092 | |
| (787) 883-6234 | |
| Not Available |
| Full Name | Estudio Dental Otero Loperena Llc |
|---|---|
| Speciality | Dentist |
| Location | 36 Carr 2 Ste 302, Vega Alta, Puerto Rico |
| Authorized Official Name and Position | Erick Otero Garcia (DENTIST) |
| Authorized Official Contact | 7878836234 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Estudio Dental Otero Loperena Llc 36 Carr 2 Ste 302 Vega Alta PR 00692-6092 Ph: (787) 883-6234 | Estudio Dental Otero Loperena Llc 36 Carr 2 Ste 302 Vega Alta PR 00692-6092 Ph: (787) 883-6234 |
| NPI Number | 1972144301 |
|---|---|
| Provider Enumeration Date | 10/07/2019 |
| Last Update Date | 08/08/2020 |
| Medicare PECOS PAC ID | 8921435843 |
|---|---|
| Medicare Enrollment ID | O20200305000403 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972144301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| Provider Name | Erick Otero |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1437160686 PECOS PAC ID: 2567775372 Enrollment ID: I20150723007063 |
| Provider Name | Diana Loperena |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1194736348 PECOS PAC ID: 5294048005 Enrollment ID: I20150723009028 |
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