Daoud Otoman Mustafa Sr.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

23765 Issued in PR

Practice address

55 Calle Palma # 614
Arecibo, PR 00612-4526

Phone

(787) 361-2330

NPI assigned

Jan 23, 2023

Reactivated

Jun 3, 2024

Last updated

Nov 22, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

General Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Emergency Physician Providers LLCGroup PAC ID 9436436706, 18 clinicians

Helwe CSPGroup PAC ID 8224215363, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospital Metropolitano Dr Susoni Hospital, Arecibo, PR, CCN 400117

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Emergency Physician Providers, LLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Arecibo, PR
  • NPI 1245775089
  Medicare reassignment Care Compare group NPD
• Helwe CSP

  • Health Service Clinic/Center
  • Camuy, PR
  • NPI 1447579545
  Medicare reassignment Care Compare group NPD
• Platinum Emergency Physicians, PSC

  • Emergency Medicine Physician
  • Arecibo, PR
  • NPI 1285980052
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hospital Dr. Susoni. Inc.

  • General Acute Care Hospital
  • Arecibo, PR
  • NPI 1104862044
  Care Compare affiliation

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732233600000",
    "number": "1467167502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1749",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "006598749",
            "telephone_number": "787-361-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CALLE PALMA # 614",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "006124526",
            "telephone_number": "787-361-2330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Hato Abajo, Arecibo, 00612, Puerto Rico",
            "address_purpose": "LOCATION",
            "city": "Arecibo",
            "state": "PR",
            "postal_code": "006140061",
            "country_code": "US",
            "telephone_number": "787-361-2330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTOMAN MUSTAFA",
        "first_name": "DAOUD",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-23",
        "last_updated": "2024-11-22",
        "certification_date": "2024-11-22",
        "deactivation_date": "2024-04-19",
        "reactivation_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor Emmanuel Otano-Rivera, MD
• Lourdes Magaly Otero Hernandez
• Liz M Otero la Luz, PHARM D.
• Sylvia Enid Otero Rodriguez, RPT
• Francisco Otero, RN
• Outpatient Clinic Medial Group, CSP
• Melissa Marie Owen Jimenez, MD
• Efrain Padilla, M.D.
• Davidia Padin, PH.D.
• Hector Xavier Padro Mazzola

• General Practice Physician in Arecibo, PR
• Providers in Arecibo, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.