Healthcare Provider Details

I. General information

NPI: 1093406597
Provider Name (Legal Business Name): AOR FAMILY MEDICINE CONSULTING SERVICES,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2023
Last Update Date: 05/16/2023
Certification Date: 05/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

HOSPITAL PAVIA ARECIBO 619 AVE SAN LUIS COMPLEJO OFICINAS MEDICAS 1ER PISO
ARECIBO PR
00612-3637
US

IV. Provider business mailing address

PO BOX 127
MANATI PR
00674-0127
US

V. Phone/Fax

Practice location:
  • Phone: 787-650-7272
  • Fax:
Mailing address:
  • Phone: 787-404-3173
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ALEXIS OTERO ROSADO
Title or Position: OWNER
Credential: MD
Phone: 787-404-3173