Provider Demographics
NPI:1972319010
Name:OTERO FALCON, KAREN (MD, MPH)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:OTERO FALCON
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:COLINAS DEL SOL II APT 4878
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00957-6975
Mailing Address - Country:US
Mailing Address - Phone:787-549-0517
Mailing Address - Fax:
Practice Address - Street 1:COLINAS DEL SOL II APT 4878
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00957-6975
Practice Address - Country:US
Practice Address - Phone:787-549-0517
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-04
Last Update Date:2024-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2041363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalGroup - Single Specialty