Carlos Acosta Oteyza, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

ME43663 Issued in FL

Practice address

6144 Gazebo Park PL S Ste 211
Jacksonville, FL 32257-1086

Phone

(904) 551-3122

Fax

(904) 551-3481

NPI assigned

Mar 14, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physical Medicine and Rehabilitation

Education

Other, 1973

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Avenues Cancer Care Institute, LLC

  • Physical Medicine & Rehabilitation Physician
  • Jacksonville, FL
  • NPI 1023308806

  FL, Physical Medicine & Rehabilitation

  Medicare reassignment NPD Authorized official
• Occupational and Rehabilitation Center PA

  • Physical Medicine & Rehabilitation Physician
  • Jacksonville, FL
  • NPI 1164507422

  Physical Medicine & Rehabilitation

  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403740800000",
    "number": "1063545341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6144 GAZEBO PARK PL S STE 211",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322571086",
            "telephone_number": "904-551-3122",
            "fax_number": "904-551-3481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6144 GAZEBO PARK PL S STE 211",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322571086",
            "telephone_number": "904-551-3122",
            "fax_number": "904-551-3481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTEYZA",
        "first_name": "CARLOS",
        "middle_name": "ACOSTA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2014-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME43663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig J Oswald, DC
• Haley Oswald, PA-C
• Otaku Collect LLC
• Lilian Astrid Otalora Rojas, MD
• Christa Marie Otero, RCSWI
• Eman Othman, BDS, MS, CAGS
• Justin A Otis, DNP, APRN-CRNA
• Anna Marie Otoole
• Gabrielle Otremba
• Amber Lynn Ott, APRN

• All providers in Jacksonville, FL
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.