Otero Medical Centers Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME71343 Issued in FL

Legal business name

OTERO MEDICAL CENTERS INC

Practice address

8212 W Flagler St
Miami, FL 33144-2028

Phone

(305) 444-7799

Fax

(305) 860-8255

NPI assigned

Dec 4, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Juan O. Otero, M.D.NPI 1760419410

Title

Ceo

Phone

(305) 444-7799

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Juan O Otero, M.D.

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1760419410
  Medicare reassignment NPD Authorized official
• Clarissa Irmina Carbo, ARNP

  • Obstetrics & Gynecology Nurse Practitioner
  • Miami, FL
  • NPI 1174549703
  Medicare reassignment NPD

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

{
    "created_epoch": "1228348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233187200000",
    "number": "1073758017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8212 W FLAGLER ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442028",
            "telephone_number": "305-444-7799",
            "fax_number": "305-860-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8212 W FLAGLER ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442028",
            "telephone_number": "305-444-7799",
            "fax_number": "305-860-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTERO MEDICAL CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-04",
        "last_updated": "2009-01-29",
        "status": "A",
        "authorized_official_last_name": "OTERO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "305-444-7799",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME77284",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME71343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251662400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claudia De la Caridad Otazua Polo
• Otb Behavior LLC
• Iris Carolina Otero Castro, LMT
• Yanet Otero Gonzalez
• Julio Cesar Otero Hernandez
• Otero Medical Equipment Inc
• Hanny Otero Rodriguez
• Mayje Otero Zubizarreta, FMD
• Michele Otero-Castillo, LMHC
• Alexis Marie Otero, D.M.D.

• Internal Medicine Physician in Miami, FL
• Providers in Miami, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2009; 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.