Otero, Luis Benito

Otero, Luis Benito is an individual health care provider with primary practice located at 1100 Wilford Hall Loop Bldg 4554 , Jbsa Lackland TX 78236-5638. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Otero, Luis Benito can be contacted via phone (210) 292-2055.

Contact Information

Primary practice address
1100 Wilford Hall Loop Bldg 4554 Jbsa Lackland TX 78236-5638
Phone: (210) 292-2055
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036-109694 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101268285 Virginia

Profile Details

NPI number 1679569511
LBN Legal business name Otero, Luis Benito
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2005
Last updated Jul 20th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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