Eliane Enid Otero Vazquez

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

7586 Issued in PR

Practice address

239 Ave Arterial Hostos
Capital Center Building/South Tower/Suite 201
San Juan, PR 00918-1475

Phone

(787) 517-9282

NPI assigned

Apr 11, 2023

Sex

Female

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: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Creactiva LLC

  • Clinical Psychologist
  • San Juan, PR
  • NPI 1376333476

  Adult Development & Aging

  Medicare reassignment NPD

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1497440838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 AVE ARTERIAL HOSTOS",
            "address_2": "CAPITAL CENTER BUILDING/SOUTH TOWER/SUITE 201",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009181475",
            "telephone_number": "787-517-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 AVE ARTERIAL HOSTOS",
            "address_2": "CAPITAL CENTER BUILDING/SOUTH TOWER/SUITE 201",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009181475",
            "telephone_number": "787-517-9282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTERO VAZQUEZ",
        "first_name": "ELIANE",
        "middle_name": "ENID",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-11",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "7586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Isabel Otero Rios, MD
• Yamilet Otero Romero, NP
• Diego Enrique Otero Santiago
• Sofia Paola Otero Segui, BS
• Anyely Del Carmen Otero Tosado
• Noemi Esther Otero Vazquez, DMD
• Yomayra Otero-Dominguez, MD
• Elisa A Otero-Franqui, MD
• Guillermo Roberto Otero-Herrmann, M.D.
• Juanita Otero-Santana, PSY.D.

• Clinical Psychologist in San Juan, PR
• Providers in San Juan, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; 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.