| Medicina Familiar Otoao Inc | |
|
309 Calle Fernando L Garcia Utuado PR 00641-3035 | |
| (787) 615-8365 | |
| Not Available |
| Full Name | Medicina Familiar Otoao Inc |
|---|---|
| Speciality | General Practice |
| Location | 309 Calle Fernando L Garcia, Utuado, Puerto Rico |
| Authorized Official Name and Position | Astrid L Arce Ramos (PRESIDENT) |
| Authorized Official Contact | 7876158365 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medicina Familiar Otoao Inc 53 Calle Betances Utuado PR 00641-2859 Ph: (787) 615-8365 | Medicina Familiar Otoao Inc 309 Calle Fernando L Garcia Utuado PR 00641-3035 Ph: (787) 615-8365 |
| NPI Number | 1902414477 |
|---|---|
| Provider Enumeration Date | 07/21/2020 |
| Last Update Date | 04/01/2025 |
| Medicare PECOS PAC ID | 7012431315 |
|---|---|
| Medicare Enrollment ID | O20250408002660 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902414477 | NPI | - | NPPES |
| 1811108459 | Medicaid | PR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Astrid L Arce Ramos |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1811108459 PECOS PAC ID: 5294928644 Enrollment ID: I20101019000362 |
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