Active NPI
Rafael C Botero, M.D.
- Hepatology Physician
- Houston, TX
National Provider Identifier
1023042959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hepatology Physician
- License
- L9105
- Practice address
- 6410 Fannin St
370
Houston, TX 77030-3000 - Phone
- (713) 704-6800
- NPI assigned
- Jul 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | L9105 | TX | |
| Hepatology Physician | 207RI0008X | L9105 | TX | Primary |
Addresses
Primary practice location
6410 Fannin St
370
Houston, TX 77030-3000
Mailing address
PO Box 201088
Houston, TX 77216-1088
Phone (713) 500-3500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8F9513 | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 40311 | TX | MD | General Practice Dentistry |
| L9105 | TX | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196640000000",
"number": "1023042959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 201088",
"city": "HOUSTON",
"state": "TX",
"postal_code": "772161088",
"telephone_number": "713-500-3500",
"fax_number": "713-704-6616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6410 FANNIN ST",
"address_2": "370",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770303000",
"telephone_number": "713-704-6800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOTERO",
"first_name": "RAFAEL",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2007-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "L9105",
"primary": false
},
{
"code": "207RI0008X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hepatology",
"state": "TX",
"license": "L9105",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8F9513",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.