Individual provider · NPI-1

Victor Emmanuel Otano-Rivera, MD

Urology · Arecibo, PR

NPI number1972063568
StatusActive
Last updated in NPPESAug 5, 2024

Details

NPI
1972063568
Entity type
Individual (NPI-1)
Name
Victor Emmanuel Otano-Rivera
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Mar 21, 2019
Certification date
Jul 30, 2024
Last updated
Aug 5, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208800000X Urology23188PRYes
390200000X Student in an Organized Health Care Education/Training Program–PA

Practice location

Metropolitan Office Building
153 Calle Jose De Diego
Arecibo, PR 00612

Phone 215-662-2891

Mailing address

Urb. Costa Norte Calle Palmas 114
Hatillo, PR 00659

Phone 267-624-3578

Other practice locations

660 Calle Lady Di
Urb Los Almendros
Ponce, PR 00716-3534

Phone 787-313-7405

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