Mirthia Luz Otero, SLPD, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA7139 Issued in FL

Practice address

10567 Cresto del Sol Cir
Orlando, FL 32817-3300

Phone

(407) 325-7499

NPI assigned

Mar 26, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319068800000",
    "number": "1376661686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10567 CRESTO DEL SOL CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328173300",
            "telephone_number": "407-325-7499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10567 CRESTO DEL SOL CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328173300",
            "telephone_number": "407-325-7499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTERO",
        "first_name": "MIRTHIA",
        "middle_name": "LUZ",
        "name_prefix": "Mrs.",
        "credential": "SLPD, CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2011-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA7139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "888863900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eric Otero, PT, DPT, OCS, ATC
• Haraldo J. Otero, DMD
• Lewis Otero, MD
• Lisa Christine Otero, APRN
• Magaly Otero, LMT
• Paul Otero
• Rolando Otero, MD
• Paola Rossy Othon, MS, RD, LDN
• David Allen Ott, PH.D.
• Gabriela Fecik Ott, PSY.D.

• Speech-Language Pathologist in Orlando, FL
• Providers in Orlando, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2011; 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.