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NPI Code Detail

MEDICARE: DR. IVAN FIGUEROA-OTERO MD

MEDICARE: DR. IVAN FIGUEROA-OTERO MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12086S0120XPediatric Surgery Physician3839PR

General Provider Information

NPI Number : 1588666770
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. IVAN FIGUEROA-OTERO MD
Provider Business Mailing Address
First Line : 252 CALLE SAN JORGE
Second Line : STE 407
City : SAN JUAN
State : PR
Zip : 00912-3310
Country : US
Telephone Number : 787-728-1415
Fax Number : 787-728-1409
Provider Business Practice Location Address
First Line : 252 CALLE SAN JORGE
Second Line : STE 407
City : SAN JUAN
State : PR
Zip : 00912-3310
Country : US
Telephone Number : 787-728-1415
Fax Number : 787-728-1409
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2005
Last Update Date : 07/08/2007

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