Angeles Ivette Otero, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME89425 Issued in FL

Practice address

706 E Grand Hwy
Clermont, FL 34711-3708

Phone

(352) 557-4965

Fax

(352) 404-6955

NPI assigned

Aug 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Angeles Ivette Carrasquillo Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1124133343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 E GRAND HWY",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347113708",
            "telephone_number": "352-557-4965",
            "fax_number": "352-404-6955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 E GRAND HWY",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347113708",
            "telephone_number": "352-557-4965",
            "fax_number": "352-404-6955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3155 Citrus Tower Blvd",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347116803",
            "country_code": "US",
            "telephone_number": "352-242-1500",
            "fax_number": "352-242-0053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTERO",
        "first_name": "ANGELES",
        "middle_name": "IVETTE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME89425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274654900",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aotero@apluspediatrics.opdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "706 E Grand Hwy",
            "city": "Clermont",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347113708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANGELES",
            "last_name": "CARRASQUILLO",
            "middle_name": "IVETTE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Robert George Ostheim III, D.C.
• Natsue Otake-Ferree, RDN
• Monica Maria Otero
• Outcome Based Delivery Systems Acquisition Company, LLC
• Frederick Owusu-Ofori, RPH
• April Louise Oxford, MD
• John Jeffrey Oyler

• Pediatrics Physician in Clermont, FL
• Providers in Clermont, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.