Otantik Medical Center

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

OTANTIK MEDICAL CENTER

Practice address

170 NW 189TH Ter
Suite C
Miami Gardens, FL 33169-4004

Phone

(305) 650-1695

Fax

(305) 675-2297

NPI assigned

Dec 18, 2024

Organization subpart

No

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

Authorized official

Name

Fredo C Jean Francois

Title

Ceo

Phone

(954) 882-0164

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jasmine Lucy Anne Ivy, NP

  • Family Nurse Practitioner
  • Miami Gardens, FL
  • NPI 1437012747
  NPD (past)

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

{
    "created_epoch": "1734480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763078400000",
    "number": "1609683010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 NW 189 TER SUITE C",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331694004",
            "telephone_number": "305-650-1695",
            "fax_number": "305-675-2297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 NW 189TH TER",
            "address_2": "SUITE C",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331694004",
            "telephone_number": "305-650-1695",
            "fax_number": "305-675-2297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTANTIK MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-18",
        "last_updated": "2025-11-14",
        "certification_date": "2025-11-14",
        "status": "A",
        "authorized_official_last_name": "JEAN FRANCOIS",
        "authorized_official_first_name": "FREDO",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-882-0164"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Orozco
• Angel Fidel Ortega, APRN
• Ortho Gravity Medical LLC
• Danyor Ortiz Heredia, RBT
• Marie Carline Oseh
• Darelys Otero Roque
• Darian Ovies Vazquez, RBT
• Ashley Pacheco
• David Padilla Ramos
• Hasel Padilla Rojas

• Primary Care Clinic/Center in Miami Gardens, FL
• Providers in Miami Gardens, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.