| Grupo Medico Dra Ana Otero Cruz Llc | |
|
Carr.#2 Km 57.9 Cruce Davila Barceloneta PR 00617 | |
| (787) 846-3611 | |
| Not Available |
| Full Name | Grupo Medico Dra Ana Otero Cruz Llc |
|---|---|
| Speciality | General Practice |
| Location | Carr.#2 Km 57.9 Cruce Davila, Barceloneta, Puerto Rico |
| Authorized Official Name and Position | Ana Otero Cruz (PRESIDENT) |
| Authorized Official Contact | 7876479932 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grupo Medico Dra Ana Otero Cruz Llc Po Box 658 Barceloneta PR 00617-0658 Ph: (787) 647-9932 | Grupo Medico Dra Ana Otero Cruz Llc Carr.#2 Km 57.9 Cruce Davila Barceloneta PR 00617 Ph: (787) 846-3611 |
| NPI Number | 1619694528 |
|---|---|
| Provider Enumeration Date | 10/21/2022 |
| Last Update Date | 10/21/2022 |
| Medicare PECOS PAC ID | 4486024577 |
|---|---|
| Medicare Enrollment ID | O20230106000287 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619694528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Ana I Otero |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1740278449 PECOS PAC ID: 2062437494 Enrollment ID: I20051013000942 |
| Provider Name | Anais Terron Rios |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1043931512 PECOS PAC ID: 9739550799 Enrollment ID: I20230130002280 |
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