Jog Otolaryngology Services CSP

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

12317 Issued in PR

Legal business name

JOG OTOLARYNGOLOGY SERVICES CSP

Practice address

29 Washington Suite 105
Ashford Medical Center
San Juan, PR 00907

Phone

(787) 725-5628

Fax

(787) 722-0513

NPI assigned

Oct 3, 2006

Last updated

Aug 22, 2020By 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. Jose E Otero Garcia, M.D.

Title

MD

Phone

(787) 725-5628

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104910793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 WASHINGTON SUITE 105",
            "address_2": "ASHFORD MEDICAL CENTER",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00907",
            "telephone_number": "787-725-5628",
            "fax_number": "787-722-0513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 WASHINGTON SUITE 105",
            "address_2": "ASHFORD MEDICAL CENTER",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00907",
            "telephone_number": "787-725-5628",
            "fax_number": "787-722-0513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOG OTOLARYNGOLOGY SERVICES CSP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OTERO GARCIA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "787-725-5628",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PR",
            "license": "12317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Otolaryngology Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Otolaryngology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.