Carlos R Otero, MD

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

11433 Issued in PR

Practice address

2225 Ponce by Pass Edificio Parra
Suite 305
Ponce, PR 00717-1321

Phone

(787) 259-3574

NPI assigned

Oct 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Neurology

Education

University Central del Caribe Escuela de Medicina, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospital Damas Inc Hospital, Ponce, PR, CCN 400022

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Tiber Health, Public Benefit Corporation

  • Multi-Specialty Clinic/Center
  • Ponce, PR
  • NPI 1184139602
  Medicare reassignment NPD
• Tiber Health, Public Benefit Corporation

  • Clinic/Center
  • Ponce, PR
  • NPI 1467180851
  NPD
• Arist Medical Sciences University, Public Benefit Corporation

  • Multi-Specialty Clinic/Center
  • Ponce, PR
  • NPI 1396147724
  NPD (past)

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

• Hospital Damas Inc

  • General Acute Care Hospital
  • Ponce, PR
  • NPI 1730159286
  Care Compare affiliation

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425859200000",
    "number": "1598840902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 PONCE BYP",
            "address_2": "PARRA SUITE 305",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171321",
            "telephone_number": "787-259-3574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 PONCE BY PASS EDIFICIO PARRA",
            "address_2": "SUITE 305",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007171321",
            "telephone_number": "787-259-3574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTERO",
        "first_name": "CARLOS",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2015-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "PR",
            "license": "114433",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PR",
            "license": "11433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fernando Andres Osorio Rivas
• Pedro J Ossorio, M.A.
• Orlando Javier Ostolaza, PH.D.
• Carolyn Otero Rivera
• Zullyenivette Otero Rodriguez
• Natalie Michelle Owen Bermudez
• Own Bussiness
• Oxygen and Respiratory Care of P.R.
• Oye-Aud
• P.T.O.T. Inc

• Neurology Physician in Ponce, PR
• Providers in Ponce, PR by specialty
• Neurology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; 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.