Active NPI
Jeannette Otero
- Pharmacist
- Dorado, PR
National Provider Identifier
1407992993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 4742
- Practice address
- Parc San Antonio #21 Carr 696 Suite 1
Dorado, PR 00646 - Phone
- (787) 278-3300
- Fax
- (787) 278-6100
- NPI assigned
- Jan 30, 2007
- Last updated
- Dec 4, 2019
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 4742 | PR | Primary |
Addresses
Primary practice location
Parc San Antonio #21 Carr 696 Suite 1
Dorado, PR 00646
Mailing address
HC 06 Box 14607
Hatillo, PR 00659-9551
Phone (787) 898-2458
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 |
|---|---|---|---|
| 4742 | PR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Twins Pharmacy Inc | Current | Accepting new patients | |
| Twins Pharmacy Inc | Current | Accepting new patients |
Locations
21 Carr 696
Ste 1
Dorado, PR 00646
Phone (787) 278-3300
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Retail Pharmacy
- Arecibo, PR
- NPI 1639886302
-
- Community/Retail Pharmacy
- Dorado, PR
- NPI 1902094170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575417600000",
"number": "1407992993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 06 BOX 14607",
"city": "HATILLO",
"state": "PR",
"postal_code": "006599551",
"telephone_number": "787-898-2458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PARC SAN ANTONIO #21 CARR 696 SUITE 1",
"city": "DORADO",
"state": "PR",
"postal_code": "00646",
"telephone_number": "787-278-3300",
"fax_number": "787-278-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTERO",
"first_name": "JEANNETTE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2019-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "4742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dorado, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.