Healthcare Provider Details

I. General information

NPI: 1730021080
Provider Name (Legal Business Name): RMO PSYCHIATRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2026
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 CALLE CUNDIAMOR
GURABO PR
00778-9671
US

IV. Provider business mailing address

155 CALLE CUNDIAMOR
GURABO PR
00778-9671
US

V. Phone/Fax

Practice location:
  • Phone: 787-424-9323
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: RICARDO ALBERTO MARTINEZ OTERO
Title or Position: OWNER
Credential: MD
Phone: 787-424-9323