Individual provider Active NPI

Erica Otero Cardenas, MD

  • Cardiovascular Disease Physician
  • San Juan, PR
National Provider Identifier
1619353869
Registry record updated Aug 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
21771 Issued in PR
Practice address
Centro Cardiovascular de Puerto Rico Y del Caribe
First Floor, Suite 6
San Juan, PR 00935
Phone
(787) 425-0168
NPI assigned
Aug 10, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 21771 PR Primary

Addresses

Primary practice location

Centro Cardiovascular de Puerto Rico Y del Caribe
First Floor, Suite 6
San Juan, PR 00935

Mailing address

Lomas del Manatuabon
136 Calle Yuisa, Manati, Puerto Rico
Manati, PR 00674
Phone (787) 754-8500

Other practice location 1

Hospital Auxilio Mutuo
Centro de Cardiologia
San Juan, PR 00936
Phone (787) 758-2000 ext. 1015

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
I20230921002724 PR Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3476907692 Reassigns benefits to 1 organization
Practice locations: Manati, PR

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

735 Ave Ponce de Leon
Suite 375
San Juan, PR 00917-5025
Phone (787) 758-2000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc. CurrentSince Feb 9, 2025 Accepting new patients
Hospital Espanol Auxilio Mutuo de Puerto Rico, Inc. CurrentSince Feb 9, 2025 Accepting new patients
Servicios Medicos Universitarios Inc Student in an Organized Health Care Education/Training Program Past Accepting new patients

Locations

715 Ave Ponce de Leon
Stop 37
San Juan, PR 00917

Organizations & group practices 3

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 1

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": "1439164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1619353869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "LOMAS DEL MANATUABON",
            "address_2": "136 CALLE YUISA, MANATI, PUERTO RICO",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "00674",
            "telephone_number": "787-754-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CENTRO CARDIOVASCULAR DE PUERTO RICO Y DEL CARIBE",
            "address_2": "FIRST FLOOR, SUITE 6",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00935",
            "telephone_number": "787-425-0168"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Hospital Auxilio Mutuo",
            "address_2": "Centro de Cardiologia",
            "address_purpose": "LOCATION",
            "city": "San Juan",
            "state": "PR",
            "postal_code": "00936",
            "country_code": "US",
            "telephone_number": "787-758-2000 x1015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTERO CARDENAS",
        "first_name": "ERICA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-10",
        "last_updated": "2024-08-01",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "21771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

Verify at the official NPI Registry.