Active NPI
Juan Esteban Otero, D.C.
- Chiropractor
- Carolina, PR
National Provider Identifier
1073523080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 0357
- Practice address
- 11 Calle Marginal
Roberto Clemente Ave.
Carolina, PR 00979-6328 - Phone
- (787) 762-9287
- NPI assigned
- Aug 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 0357 | PR | Primary |
Addresses
Primary practice location
11 Calle Marginal
Roberto Clemente Ave.
Carolina, PR 00979-6328
Mailing address
1306 Ave Monte Carlo Apt 187
Portal de la Reina
San Juan, PR 00924-5749
Phone (787) 762-9287
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040817000914 | PR | Practitioner - Chiropractic | 1254304371 | Practice locations: Carolina, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
A-11 Ave Roberto Clemente
Carolina, PR 00985
Phone (787) 242-1616
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0357 | PR | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1073523080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1306 AVE MONTE CARLO APT 187",
"address_2": "PORTAL DE LA REINA",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009245749",
"telephone_number": "787-762-9287",
"fax_number": "787-762-9287"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 CALLE MARGINAL",
"address_2": "ROBERTO CLEMENTE AVE.",
"city": "CAROLINA",
"state": "PR",
"postal_code": "009796328",
"telephone_number": "787-762-9287"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTERO",
"first_name": "JUAN",
"middle_name": "ESTEBAN",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PR",
"license": "0357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carolina, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.