Carlos Manuel Otero Rivera I, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

8779 Issued in PR

Practice address

Carr. 146 KM 27.4
Bo. Cordilleras
Ciales, PR 00638-0283

Phone

(787) 871-3919

Fax

(787) 871-2376

NPI assigned

May 4, 2006

Last updated

Aug 11, 2022By the provider in NPPES

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

Other identifiers 1

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

Family Practice

Education

University of Puerto Rico School of Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Consultorio Medicina de Famlia, Inc.

  • Family Medicine Physician
  • Orocovis, PR
  • NPI 1619605110
  NPD Authorized official
• Consultorio Medicina de Familia, Inc.

  • Family Medicine Physician
  • Ciales, PR
  • NPI 1114655784
  Authorized official Same address or phone

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1740238609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 185",
            "city": "CIALES",
            "state": "PR",
            "postal_code": "006380185",
            "telephone_number": "787-930-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. 146 KM 27.4",
            "address_2": "BO. CORDILLERAS",
            "city": "CIALES",
            "state": "PR",
            "postal_code": "006380283",
            "telephone_number": "787-871-3919",
            "fax_number": "787-871-2376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTERO RIVERA",
        "first_name": "CARLOS",
        "middle_name": "MANUEL",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "8779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "038417700",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nayda Oliveras Montijo
• Keyla Michelle Olivero
• Omar O Ortega, R.T.
• Vanessa Ortega
• Adaemy Ortiz Garcia
• Eliezer Pagan Blanco
• Cristina Ivelisse Pagan, MSW
• Mabel Perez, PHARMACY TECHNICIAN
• Vanessa Perez, PHARMACIST
• Zulma Perez, M.S.

• Family Medicine Physician in Ciales, PR
• Providers in Ciales, PR by specialty
• Family Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2022; 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.