Individual provider Active NPI

Jorge A. Otero-Quintana, M.D.

  • Obstetrics & Gynecology Physician
  • Manati, PR
National Provider Identifier
1225006307
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
10724 Issued in PR
Practice address
Edificio Medico I Dr. Pedro Blanco Lugo
Carr. 2 KM. 47.7 Suite 305
Manati, PR 00674-4665
Phone
(787) 854-0800
Fax
(787) 854-0808
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 10724 PR Primary

Addresses

Primary practice location

Edificio Medico I Dr. Pedro Blanco Lugo
Carr. 2 KM. 47.7 Suite 305
Manati, PR 00674-4665

Mailing address

Estancias de Tortuguero
629 Turin St.
Vega Baja, PR 00693
Phone (787) 854-0800

Other identifiers 4

IdentifierTypeStateIssuer
6606086111OtherPRMCS
6740082OtherPRHUMANA
89144OtherPRTRIPLE S
061503OtherPRLCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080905000177 PR Practitioner - Obstetrics/Gynecology 4688740285 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
North OB-GYN Services, PSC Obstetrics & Gynecology CurrentSince Apr 1, 2002 Accepting new patients
Doctors Center Hospital Inc Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1225006307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ESTANCIAS DE TORTUGUERO",
            "address_2": "629 TURIN ST.",
            "city": "VEGA BAJA",
            "state": "PR",
            "postal_code": "00693",
            "telephone_number": "787-854-0800",
            "fax_number": "787-854-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIFICIO MEDICO I DR. PEDRO BLANCO LUGO",
            "address_2": "CARR. 2 KM. 47.7 SUITE 305",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006744665",
            "telephone_number": "787-854-0800",
            "fax_number": "787-854-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTERO-QUINTANA",
        "first_name": "JORGE",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PR",
            "license": "10724",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCS",
            "identifier": "6606086111",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "6740082",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIPLE S",
            "identifier": "89144",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LCA",
            "identifier": "061503",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

Verify at the official NPI Registry.