Mogave LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

MOGAVE LLC

Practice address

Carr 165 KM 0
Suite 1010 City View Plaza II
Guaynabo, PR 00968-0096

Phone

(787) 460-8328

NPI assigned

Mar 20, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Michael OteroNPI 1669488813

Title

President

Phone

(787) 460-8328

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Otero, M.D.

  • Anesthesiology Physician
  • San Juan, PR
  • NPI 1669488813
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1742428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742428800000",
    "number": "1386445096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 COBANA ST",
            "address_2": "URB LADERAS DE SAN JUAN",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009269314",
            "telephone_number": "787-460-8328",
            "fax_number": "787-474-8328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 165 KM 0",
            "address_2": "SUITE 1010 CITY VIEW PLAZA II",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009680096",
            "telephone_number": "787-460-8328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOGAVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-20",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "OTERO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-460-8328",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor Miranda Santana, 0416B
• Jocelyn Vianney Miranda, DC
• Liliana Zoe Miranda, M.D.
• Sharlene Monique Miranda, O.D.
• Dana Miro Medina
• Moises Molina Echevarria, 1326P
• Ramon H Molina Jimenez, 0877P
• Mariella Molina Rossy, DC
• Jose Jaime Molina-Laborde, CCP-C, FP-C, UF CCP
• Leonardo Molina-Millet, MD

• Anesthesiology Physician in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• Anesthesiology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.