Angel Otero Dental Office PSC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

2376 Issued in PR

Legal business name

ANGEL OTERO DENTAL OFFICE PSC

Practice address

FDR 525 Suite 611
San Juan, PR 00918

Phone

(787) 758-0243

Fax

(787) 282-8755

NPI assigned

Feb 14, 2008

Last updated

Feb 14, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Angel Manuel Otero, DMDNPI 1922154202

Title

Dentist/Owner

Phone

(787) 758-0243

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Angel Manuel Otero, DMD

  • Dentist
  • San Juan, PR
  • NPI 1922154202
  NPD (past) Authorized official

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1083882831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "J4 CALLE RUISENOR",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009693345",
            "telephone_number": "787-758-0243",
            "fax_number": "787-282-8755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FDR 525 SUITE 611",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00918",
            "telephone_number": "787-758-0243",
            "fax_number": "787-282-8755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL OTERO DENTAL OFFICE PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "OTERO",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_middle_name": "MANUEL",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "787-758-0243",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "PR",
            "license": "2376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anestesiologos Clinica Las Americas,Acla PSC
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• Anew Health & Wellness PSC
• Angel G. Archilla Montes (First Care Ambulance Services)
• Angel M. Torres Gonzalez
• Angel's Cardiovascular Service, Inc.
• Angeluz Oncology Store, Inc
• Angiocare LLC
• Ivonne Anglero, RD, LND, MMSC
• Arelys Alexandra Angueira Laureano

• Dental Clinic/Center in San Juan, PR
• Providers in San Juan, PR by specialty
• Dental Clinic/Center in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.