Active NPI
Ruben L Otero, M.D.
- Internal Medicine Physician
- Bayamon, PR
National Provider Identifier
1528037306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 8225
- Practice address
- E22 Calle Santa Cruz
Oficina 208
Bayamon, PR 00961-6905 - Phone
- (787) 740-4286
- Fax
- (787) 787-9082
- NPI assigned
- Mar 15, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 8225 | PR | Primary |
Addresses
Primary practice location
E22 Calle Santa Cruz
Oficina 208
Bayamon, PR 00961-6905
Mailing address
Calle Rio Canas D-15 Apt 2
Rio Hondo 1
Bayamon, PR 00961
Phone (787) 528-7689
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8225 | PR | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1528037306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CALLE RIO CANAS D-15 APT 2",
"address_2": "RIO HONDO 1",
"city": "BAYAMON",
"state": "PR",
"postal_code": "00961",
"telephone_number": "787-528-7689",
"fax_number": "787-787-9082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "E22 CALLE SANTA CRUZ",
"address_2": "OFICINA 208",
"city": "BAYAMON",
"state": "PR",
"postal_code": "009616905",
"telephone_number": "787-740-4286",
"fax_number": "787-787-9082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTERO",
"first_name": "RUBEN",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "8225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bayamon, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.