Active NPI
Amarilis Otero Padro, DDS
- General Practice Dentistry
- Camuy, PR
National Provider Identifier
1336330372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2397
- Practice address
- Carr 2 KM 93.9
Barrio Membrillo
Camuy, PR 00627 - Phone
- (787) 262-4074
- Fax
- (787) 262-4074
- NPI assigned
- Aug 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 Dentistry | 1223G0001X | 2397 | PR | Primary |
Addresses
Primary practice location
Carr 2 KM 93.9
Barrio Membrillo
Camuy, PR 00627
Mailing address
Carr. #2 KM 93.9 Bo. Membrillo
Camuy, PR 00627
Phone (787) 262-4074
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170623002455 | FL | Order and Referring Only - Dentist | 0143598672 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Consultorio Dental Dra Otero Padro | General Practice | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Practice Dentistry
- Camuy, PR
- NPI 1063506129
General Practice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186358400000",
"number": "1336330372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CARR. #2 KM 93.9 BO. MEMBRILLO",
"city": "CAMUY",
"state": "PR",
"postal_code": "00627",
"telephone_number": "787-262-4074",
"fax_number": "787-262-4074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR 2 KM 93.9",
"address_2": "BARRIO MEMBRILLO",
"city": "CAMUY",
"state": "PR",
"postal_code": "00627",
"telephone_number": "787-262-4074",
"fax_number": "787-262-4074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTERO PADRO",
"first_name": "AMARILIS",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-06",
"last_updated": "2007-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PR",
"license": "2397",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camuy, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.