Individual provider Active NPI

Arachristie Otero Diaz, MD

  • Family Medicine Physician
  • Manati, PR
National Provider Identifier
1548784010
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
22183 Issued in PR
Practice address
Manati Medical Center
Calle Hernandez Carrion Urbanizacion Atenas
Manati, PR 00674
Phone
(787) 621-3700
NPI assigned
Jul 27, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 14413I PR
Family Medicine Physician 207Q00000X 22183 PR Primary

Addresses

Primary practice location

Manati Medical Center
Calle Hernandez Carrion Urbanizacion Atenas
Manati, PR 00674

Mailing address

Manati Medical Center
Calle Hernandez Carrion Urbanizacion Atenas
Manati, PR 00674
Phone (787) 621-3700

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210616001870 PR Practitioner - Family PracticePractitioner - General Practice 2163822982 Reassigns benefits to 2 organizations
Practice locations: Vega Baja, PR

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

Carr 2 KM 57
Barceloneta, PR 00617
Phone (939) 332-4787

Hospital & facility affiliations

  • Corporacion Las Vegas, LLC Home health agency, Manati, PR, CCN 407014
  • Doctors' Center Hospital, Inc Hospital, Manati, PR, CCN 400118
  • Doctors Center Hospital Orlando Health Dorado Hospital, Dorado, PR, CCN 400137
  • Manati Medical Center Dr Otero Lopez Hospital, Manati, PR, CCN 400114

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
14413IPRMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Aod Quality Family Medicine LLC CurrentSince Jan 15, 2023 Accepting new patients
MMC Family Medical Center LLC CurrentSince Jun 1, 2022 Accepting new patients
SHC Owner LLC Family Medicine Past Accepting new patients
Doctors Center Hospital Inc Past Accepting new patients
Grupo Medico Dra Ana Otero Cruz LLC PastSince Nov 1, 2022 Accepting new patients

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1501113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1548784010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MANATI MEDICAL CENTER",
            "address_2": "CALLE HERNANDEZ CARRION URBANIZACION ATENAS",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-621-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MANATI MEDICAL CENTER",
            "address_2": "CALLE HERNANDEZ CARRION URBANIZACION ATENAS",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-621-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTERO DIAZ",
        "first_name": "ARACHRISTIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-27",
        "last_updated": "2022-07-21",
        "certification_date": "2022-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "14413I",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "22183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

Verify at the official NPI Registry.