Angel M Otero, D.M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

701 Issued in PR

Practice address

47 Calle 1
Hermanas Davila
Bayamon, PR 00959-8023

Phone

(787) 786-8540

Fax

(787) 995-0431

NPI assigned

May 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Third Molar Inc

  • Oral and Maxillofacial Surgery (Dentist)
  • Bayamon, PR
  • NPI 1750712162
  NPD (past)

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1629036744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 CALLE 1",
            "address_2": "HERMANAS DAVILA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009598023",
            "telephone_number": "787-786-8540",
            "fax_number": "787-995-0431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 CALLE 1",
            "address_2": "HERMANAS DAVILA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009598023",
            "telephone_number": "787-786-8540",
            "fax_number": "787-995-0431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTERO",
        "first_name": "ANGEL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "PR",
            "license": "701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kashley A Ostolaza
• OT Clinical Group Corp
• Jose Gabriel Otero Class
• Karen Otero Falcon, MD, MPH
• Nelson Lemuel Otero Rosa, BSN
• Edwin Otero
• Leamsy Otero
• Milagros Otero
• Nora Otero, PT
• Ruben L Otero, M.D.

• Oral and Maxillofacial Surgery (Dentist) in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Oral and Maxillofacial Surgery (Dentist) in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.