Erick Otero, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

1661 Issued in PR

Practice address

36 Carr 2 Ste 302
Vega Alta, PR 00692-6064

Phone

(787) 883-6234

NPI assigned

Aug 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Estudio Dental Otero Loperena LLC

  • General Practice Dentistry
  • Vega Alta, PR
  • NPI 1972144301
  NPD

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1437160686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 CARR 2 STE 302",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006926064",
            "telephone_number": "787-883-6234",
            "fax_number": "787-883-1323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 CARR 2 STE 302",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006926064",
            "telephone_number": "787-883-6234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTERO",
        "first_name": "ERICK",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PR",
            "license": "1661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claribel Oquendo, M.D.
• Ivonne Oquendo, PHARMACYTECHNICIAN
• Natalia Alondra Ortiz Correa
• Cristina Ortiz-Diaz, DMD, MSD
• Ednaly Ortiz, RPH
• Wanda I Otero, PHARMACIST
• Clayton Eugene Owen, M.D.
• Joseveth Pabon I
• Maria D Pabon, S.W.
• Dinorah X Padilla Machuca

• General Practice Dentistry in Vega Alta, PR
• Providers in Vega Alta, PR by specialty
• General Practice Dentistry in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; 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.

Verify at the official NPI Registry.