Individual provider Active NPI

Rafael Eduardo Otero Cabrera, LP

  • Psychologist
  • Carolina, PR
National Provider Identifier
1356029318
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
7659 Issued in PR
Practice address
T3 Calle la Torrecilla
Carolina, PR 00987-8039
Phone
(787) 948-2651
NPI assigned
Jul 10, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Psychologist 103T00000X 7659 PR Primary

Addresses

Primary practice location

T3 Calle la Torrecilla
Carolina, PR 00987-8039

Mailing address

T3 Calle la Torrecilla
Carolina, PR 00987-8039
Phone (787) 948-2651

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

NPI Registry JSON

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1356029318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "T3 CALLE LA TORRECILLA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009878039",
            "telephone_number": "787-948-2651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "T3 CALLE LA TORRECILLA",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009878039",
            "telephone_number": "787-948-2651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTERO CABRERA",
        "first_name": "RAFAEL",
        "middle_name": "EDUARDO",
        "credential": "LP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PR",
            "license": "7659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.