Borinquen Urology LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

BORINQUEN UROLOGY LLC

Practice address

Metropolitan Office Building
153 Calle Jose de Diego
Arecibo, PR 00612

Phone

(215) 662-2891

NPI assigned

Aug 7, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Victor E Otano-Rivera, MDNPI 1972063568

Title

Urologist (Ceo)

Phone

(267) 624-3578

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Victor Emmanuel Otano-Rivera, MD

  • Urology Physician
  • Arecibo, PR
  • NPI 1972063568
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729641600000",
    "number": "1174353734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 145200",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006145200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "METROPOLITAN OFFICE BUILDING",
            "address_2": "153 CALLE JOSE DE DIEGO",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "215-662-2891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BORINQUEN UROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-07",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "OTANO-RIVERA",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "UROLOGIST (CEO)",
        "authorized_official_telephone_number": "267-624-3578",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bless Orthomedic Corp
• Blessed Transport PR LLC
• Sayrin Bonilla Sanabria
• Julia Bonilla
• Borinquen Dental Corporation (Clinica Dental Arecibo)
• Miguel A Borras
• Borrero Health Services LLC
• Carlos M Borrero Rios, M.D.
• Idalia Evelyn Borrero, M.D.
• Brenda Y. Bosque

• Urology Physician in Arecibo, PR
• Providers in Arecibo, PR by specialty
• Urology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.