Active NPI
Yared Otero Lopez
- General Practice Registered Nurse
- Gurabo, PR
National Provider Identifier
1316656945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Registered Nurse
- License
- 87017
- Practice address
- Carr. 941 Salida Bo. Jaguas
Gurabo, PR 00778-0077 - Phone
- (787) 737-2311
- NPI assigned
- Nov 22, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | 87017 | PR | Primary |
Addresses
Primary practice location
Carr. 941 Salida Bo. Jaguas
Gurabo, PR 00778-0077
Mailing address
HC 45 Box 10385
Cayey, PR 00736-3029
Phone (787) 941-7985
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 87017 | Medicaid | PR |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | yared929@gmail.com | Direct | |
| SOAP URL | yared929@gmail.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 87017 | PR | MD | General Practice Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669075200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669075200000",
"number": "1316656945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 45 BOX 10385",
"city": "CAYEY",
"state": "PR",
"postal_code": "007363029",
"telephone_number": "787-941-7985"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR. 941 SALIDA BO. JAGUAS",
"city": "GURABO",
"state": "PR",
"postal_code": "007780077",
"telephone_number": "787-737-2311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTERO LOPEZ",
"first_name": "YARED",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-22",
"last_updated": "2022-11-22",
"certification_date": "2022-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "PR",
"license": "87017",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "87017",
"state": "PR"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "yared929@gmail.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "yared929@gmail.com",
"address_1": "Cond Caminito # 189",
"city": "Gurabo",
"state": "PR",
"country_code": "US",
"postal_code": "007783029",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "yared929@gmail.com",
"affiliation": "N",
"address_1": "Cond Caminito # 189",
"city": "Gurabo",
"state": "PR",
"country_code": "US",
"postal_code": "007783029",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Gurabo, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.