Antonio Otero DDS, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10814 Issued in FL

Legal business name

ANTONIO OTERO DDS, PA

Practice address

782 NW 42ND Ave
Suite 538
Miami, FL 33126-5541

Phone

(305) 442-8866

Fax

(305) 448-6407

NPI assigned

Apr 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Antonio Otero, DDSNPI 1295954675

Title

President

Phone

(305) 442-8866

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• Antonio Otero, D.D.S.

  • Dentist
  • Miami, FL
  • NPI 1295954675
  NPD (past) Authorized official
• Daynet Fraga, D.M.D

  • Dentist
  • Miami, FL
  • NPI 1407288319
  NPD (past)
• Viviana Lea Waich, DDS

  • General Practice Dentistry
  • Miami, FL
  • NPI 1528290871
  NPD (past)

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322611200000",
    "number": "1174742555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "782 NW 42ND AVE",
            "address_2": "SUITE 538",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331265541",
            "telephone_number": "305-442-8866",
            "fax_number": "305-448-6407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "782 NW 42ND AVE",
            "address_2": "SUITE 538",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331265541",
            "telephone_number": "305-442-8866",
            "fax_number": "305-448-6407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTONIO OTERO DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2011-11-30",
        "status": "A",
        "authorized_official_last_name": "OTERO",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-442-8866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "10814",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "077828100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Antonia E Ruaix MD PA
• Yiorgos Antoniadis, MD,MPH
• Antonin Medical Equipment
• Antonio a Pena MD PA
• Antonio Otero DDS and Associates, PA
• Romulo Antonio Pasini, MD
• Antonio R Barquet MD PA
• Antonio R. Prats, M.D., P.a.
• Antonio Tejero
• Pavel Antonov, M.D.

• General Practice Dentistry in Miami, FL
• Providers in Miami, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2011; 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.