Jorge E Otero MD PA

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME21884 Issued in FL

Legal business name

JORGE E OTERO MD PA

Practice address

6101 Webb Rd Ste 306
Tampa, FL 33615-2866

Phone

(813) 882-0141

Fax

(813) 885-4965

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Gloria Otero

Title

Office Manager

Phone

(813) 882-0141

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335225600000",
    "number": "1639296361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 WEBB RD STE 306",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336152866",
            "telephone_number": "813-882-0141",
            "fax_number": "813-885-4965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 WEBB RD STE 306",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336152866",
            "telephone_number": "813-882-0141",
            "fax_number": "813-885-4965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JORGE E OTERO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2012-04-24",
        "status": "A",
        "authorized_official_last_name": "OTERO",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "813-882-0141",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME21884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peggy Jordan, MS, CCC-SLP
• Shannon M. Jordan
• Yashica Jordan
• Sarma Jordans, PSYD
• Craig Jorden Jr.
• Amanda Jorge Gonzalez
• Jorge J. Inga, M.D. P.a.
• Jorge J. Leal, M.D., LLC.
• Jorge L Leal MD LLC
• Jasmine Jorge

• Specialist in Tampa, FL
• Providers in Tampa, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; 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.