Active NPI
Ariel Gastroenterology, P.a.
- Specialist
- Hialeah, FL
National Provider Identifier
1225295892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME0044788
- Legal business name
- ARIEL GASTROENTEROLOGY, P.A.
- Practice address
- 7100 W 20TH Ave
Suite 412
Hialeah, FL 33016-1897 - Phone
- (305) 820-0006
- Fax
- (305) 828-6700
- NPI assigned
- May 20, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Wilson Nicolas Otero, M.D.
- Title
- Registered Agent/Gastroenterologist
- Phone
- (954) 483-8422
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME0044788 | FL | Primary |
Addresses
Primary practice location
7100 W 20TH Ave
Suite 412
Hialeah, FL 33016-1897
Mailing address
12400 SW 1St CT
Plantation, FL 33325-2702
Phone (954) 483-8335
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4073765 | Other | FL | AETNA NETWORK PROVIDER ID |
National Provider Directory
National Provider DirectoryLocations
15501 NW 67th Ave
Miami Lakes, FL 33014
Phone (305) 512-4153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211241600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211241600000",
"number": "1225295892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12400 SW 1ST CT",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333252702",
"telephone_number": "954-483-8335",
"fax_number": "305-828-6700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7100 W 20TH AVE",
"address_2": "SUITE 412",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330161897",
"telephone_number": "305-820-0006",
"fax_number": "305-828-6700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARIEL GASTROENTEROLOGY, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-20",
"last_updated": "2008-05-20",
"status": "A",
"authorized_official_last_name": "OTERO",
"authorized_official_first_name": "WILSON",
"authorized_official_middle_name": "NICOLAS",
"authorized_official_title_or_position": "REGISTERED AGENT/GASTROENTEROLOGIST",
"authorized_official_telephone_number": "954-483-8422",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "FL",
"license": "ME0044788",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA NETWORK PROVIDER ID",
"identifier": "4073765",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.