Active NPI
Pedro J Garcia Otero, M.D.
- Internal Medicine Physician
- San Juan, PR
National Provider Identifier
1477520336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 10273
- Practice address
- 258 Ave de la Constitucion
San Juan, PR 00901-2204 - Phone
- (787) 723-9626
- Fax
- (787) 723-9626
- NPI assigned
- Feb 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 10273 | PR | Primary |
Addresses
Primary practice location
258 Ave de la Constitucion
San Juan, PR 00901-2204
Mailing address
PO Box 6276
San Juan, PR 00914-6276
Phone (787) 723-9626
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10273 | Other | PR | STATE LICENCE |
Other names 1
- Dr. Pedro J Garcia Otero
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130823000990 | PR | Practitioner - Internal Medicine | 3870736846 | Practice locations: San Juan, PR |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
258 Ave de la Constitucion
San Juan, PR 00901-2204
Phone (787) 723-9626
Hospital & facility affiliations
- Presbyterian Community Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Pedro J Garcia Otero LLC | Internal Medicine | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- San Juan, PR
- NPI 1255003760
Internal Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Juan, PR
- NPI 1770580813
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632528000000",
"number": "1477520336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6276",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009146276",
"telephone_number": "787-723-9626",
"fax_number": "787-723-9626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "258 AVE DE LA CONSTITUCION",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009012204",
"telephone_number": "787-723-9626",
"fax_number": "787-723-9626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA OTERO",
"first_name": "PEDRO",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-28",
"last_updated": "2021-09-25",
"certification_date": "2021-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "10273",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENCE",
"identifier": "10273",
"state": "PR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PEDRO",
"last_name": "GARCIA OTERO",
"middle_name": "J",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2021; 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.