Individual provider Active NPI

Ana I. Otero, M.D.

  • General Practice Physician
  • Barceloneta, PR
National Provider Identifier
1740278449
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
16107 Issued in PR
Practice address
Carr. No. 2 KM 57.9 Cruce Davila
Barceloneta, PR 00617-1924
Phone
(787) 846-3611
Fax
(787) 846-0066
NPI assigned
Oct 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 16107 PR Primary

Addresses

Primary practice location

Carr. No. 2 KM 57.9 Cruce Davila
Barceloneta, PR 00617-1924

Mailing address

PO Box 1924
Barceloneta, PR 00617-1924
Phone (787) 846-3611

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
I20051013000942 PR Practitioner - General Practice 2062437494 Reassigns benefits to 1 organization
Practice locations: Barceloneta, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2 Carr
Barceloneta, PR 00617
Phone (787) 846-3611

Carr No 2 KM 57
Barceloneta, PR 00617-1924

PO Box
Suite 658
Barceloneta, PR 00617-0658

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Grupo Medico Dra Ana Otero Cruz LLC General Practice CurrentSince Nov 1, 2022 Accepting new patients

Locations

1933 Carr 2
Ste 2
Barceloneta, PR 00617
Phone (787) 846-3611

1933 Carr 2
#579
Barceloneta, PR 00617
Phone (787) 846-3611

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1740278449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1924",
            "city": "BARCELONETA",
            "state": "PR",
            "postal_code": "006171924",
            "telephone_number": "787-846-3611",
            "fax_number": "787-846-3611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR. NO. 2 KM 57.9 CRUCE DAVILA",
            "city": "BARCELONETA",
            "state": "PR",
            "postal_code": "006171924",
            "telephone_number": "787-846-3611",
            "fax_number": "787-846-0066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTERO",
        "first_name": "ANA",
        "middle_name": "I.",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-07",
        "last_updated": "2022-09-06",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "16107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Barceloneta, PR

Sources for this page

Verify at the official NPI Registry.