Roberto B. Salva-Otero, MD, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

209896 Issued in MA

Legal business name

ROBERTO B. SALVA-OTERO, MD, LLC

Practice address

2085 Riverdale St
West Springfield, MA 01089-1025

Phone

(413) 650-7546

Fax

(717) 674-4274

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Roberto B Salva-Otero, MD

Title

Owner

Phone

(413) 650-7546

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565136000000",
    "number": "1457476319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "488 NEWTON ST",
            "city": "SOUTH HADLEY",
            "state": "MA",
            "postal_code": "010752010",
            "telephone_number": "413-532-9092",
            "fax_number": "413-532-7082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2085 RIVERDALE ST",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010891025",
            "telephone_number": "413-650-7546",
            "fax_number": "717-674-4274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTO B. SALVA-OTERO, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2019-08-07",
        "status": "A",
        "authorized_official_last_name": "SALVA-OTERO",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-650-7546",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "209896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in West Springfield, MA
• Providers in West Springfield, MA by specialty
• Internal Medicine Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.

Verify at the official NPI Registry.