| Doctor Name: | MRS. MARIA TIRADO OTERO |
| NPI Number: | 1265493647 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | 9675 |
| Business Practice Address: | Edif Medico Santa Cruz 73 Suite 415 Santa Cruz Street Bayamon, PR - 009616910 |
| Business Phone Number: | 7872696362 |
| Business Fax Number: | 7872696363 |
| Mailing Address: | P O Box 9358, BAYAMON |
| State: | PR |
| Postal Code: | 009609358 |
| Phone Number: | 7872696362 |
| Fax Number: | 7872696363 |
| NPI Enumeration Date: | 03/28/2006 |
| NPI Last Update Date: | 07/19/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 9675 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |