Active NPI
Arachristie Otero Diaz, MD
- Family Medicine Physician
- Manati, PR
National Provider Identifier
1548784010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 22183
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
- Doctors' Center Hospital, Inc
- Doctors Center Hospital Orlando Health Dorado
- Manati Medical Center Dr Otero Lopez
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14413I | PR | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aod Quality Family Medicine LLC | Current | Accepting new patients | |
| MMC Family Medical Center LLC | Current | 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 | Past | 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.
-
- Health Service Clinic/Center
- Barceloneta, PR
- NPI 1205549300
-
- Primary Care Clinic/Center
- Vega Baja, PR
- NPI 1285008797
-
- General Acute Care Hospital
- Manati, PR
- NPI 1861494163
-
- General Practice Physician
- Barceloneta, PR
- NPI 1619694528
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Manati, PR
- NPI 1659364248
-
- General Acute Care Hospital
- Manati, PR
- NPI 1861494163
-
- General Acute Care Hospital
- Manati, PR
- NPI 1376605170
-
- General Acute Care Hospital
- Dorado, PR
- NPI 1194480806
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.