| Otis Orthodontics Psc | |
|
A7 Urb San Antonio Humacao PR 00791 | |
| (787) 285-5544 | |
| Not Available |
| Full Name | Otis Orthodontics Psc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | A7 Urb San Antonio, Humacao, Puerto Rico |
| Authorized Official Name and Position | Jose C Vicens (PRESIDENT) |
| Authorized Official Contact | 7876336847 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Otis Orthodontics Psc Po Box 758 Humacao PR 00792-0758 Ph: (787) 285-5544 | Otis Orthodontics Psc A7 Urb San Antonio Humacao PR 00791 Ph: (787) 285-5544 |
| NPI Number | 1609252121 |
|---|---|
| Provider Enumeration Date | 08/06/2015 |
| Last Update Date | 08/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609252121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2708 (Puerto Rico) | Primary |
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