Dr. OTONIEL DAVID PUERTO MD
Individual Provider (NPI-1)
Active
Anesthesiology
Provider Information
- NPI Number
1568459667- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 360 BROADWAY, BANGOR, ME, 04401
- Phone
- (207) 907-1430
- Fax
- (207) 907-3508
Specialties & Taxonomies
Anesthesiology
License: KY #34465
Anesthesiology, Pain Medicine
License: KY #34465
Anesthesiology
Primary License: ME #MD22859
All Addresses
MAILING
C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT PO BOX 7291
LEWISTON, ME, 042437291