Puerto, Otoniel David
Puerto, Otoniel David is an individual health care provider with primary practice located at 360 Broadway , Bangor ME 04401. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Puerto, Otoniel David can be contacted via phone (207) 907-1430.Contact Information
Primary practice address
360 Broadway
Bangor ME 04401
Phone: (207) 907-1430
Fax: (207) 907-3508
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 34465 | Kentucky |
Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 34465 | Kentucky |
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD22859 | Maine |
Profile Details
NPI number | 1568459667 |
---|---|
LBN Legal business name | Puerto, Otoniel David |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 4th, 2005 |
Last updated | Feb 3rd, 2022 - about 2 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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