Individual provider Active NPI

Otto L Aldahondo, MD

  • Pediatric Sleep Medicine Physician
  • Santurce, PR
National Provider Identifier
1083829220
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Sleep Medicine PhysicianTaxonomy code 2080S0012X
License
ME140868 Issued in FL
Practice address
258 Calle San Jorge
San Jorge Medical Building Suite 205
Santurce, PR 00912
Phone
(787) 727-1000
Fax
(787) 727-6550
NPI assigned
May 11, 2007
Last updated
Mar 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 16740 PR
Pediatrics Physician 208000000X ME140868 FL
Pediatric Sleep Medicine Physician 2080S0012X 16740 PR
Pediatric Sleep Medicine Physician 2080S0012X ME140868 FL Primary

Addresses

Primary practice location

258 Calle San Jorge
San Jorge Medical Building Suite 205
Santurce, PR 00912

Mailing address

14501 Audubon Trce Apt 719
Tampa, FL 33613-5410
Phone (787) 309-1123

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

LicenseStateTypeSpecialty
ME140868FLMDPediatrics Physician
16740PRMDPediatric Sleep Medicine Physician

Interoperability endpoints

  • Direct secure messaging: sjcoaldaho@yourcarecommunity.org

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1083829220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14501 AUDUBON TRCE APT 719",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336135410",
            "telephone_number": "787-309-1123",
            "fax_number": "458-200-3414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 CALLE SAN JORGE",
            "address_2": "SAN JORGE MEDICAL BUILDING SUITE 205",
            "city": "SANTURCE",
            "state": "PR",
            "postal_code": "00912",
            "telephone_number": "787-727-1000",
            "fax_number": "787-727-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALDAHONDO",
        "first_name": "OTTO",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-11",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PR",
            "license": "16740",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME140868",
            "primary": false
        },
        {
            "code": "2080S0012X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sleep Medicine",
            "state": "PR",
            "license": "16740",
            "primary": false
        },
        {
            "code": "2080S0012X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sleep Medicine",
            "state": "FL",
            "license": "ME140868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santurce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.