Organization Active NPI

Ariel Gastroenterology, P.a.

  • Specialist
  • Hialeah, FL
National Provider Identifier
1225295892
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME0044788 Issued in FL
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

Updated by the provider on May 20, 2008

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
4073765OtherFLAETNA NETWORK PROVIDER ID

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.