Individual provider Active NPI

Raul Otoman Sr., MD

  • General Practice Physician
  • Hatillo, PR
National Provider Identifier
1316032840
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
12641 Issued in PR
Practice address
Calle Marginal J-2 Urb Mar Azul
Hatillo, PR 00659
Phone
(787) 406-0882
Fax
(787) 817-2571
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 12641 PR Primary

Addresses

Primary practice location

Calle Marginal J-2 Urb Mar Azul
Hatillo, PR 00659

Mailing address

PO Box 1749
Hatillo, PR 00659
Phone (787) 406-0882

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
I20040826000852 PR Practitioner - General Practice 1052386828 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Helwe CSPGroup PAC ID 8224215363, 3 clinicians

Practice addresses (Care Compare)

9 0 Carr 486 KM
Camuy, PR 00627
Phone (787) 544-0426

Carr 119 KM
0 Bo Cienega Sector Palomar
Camuy, PR 00627
Phone (787) 820-0707

Hospital & facility affiliations

  • Western Medical Hospice Hospice, Mayaguez, PR, CCN 401561

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12641PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Helwe CSP CurrentSince Aug 17, 2010 Accepting new patients
Emergency Medicine Group of Arecibo 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316032840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1749",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "00659",
            "telephone_number": "787-406-0882",
            "fax_number": "787-817-2571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE MARGINAL J-2 URB MAR AZUL",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "00659",
            "telephone_number": "787-406-0882",
            "fax_number": "787-817-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTOMAN",
        "first_name": "RAUL",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "12641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hatillo, PR

Sources for this page

Verify at the official NPI Registry.