Individual provider Active NPI

Juan O Otero, M.D.

  • Internal Medicine Physician
  • Miami, FL
National Provider Identifier
1760419410
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME71343 Issued in FL
Practice address
8212 W Flagler St
Miami, FL 33144-2028
Phone
(305) 444-7799
Fax
(305) 860-8255
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME71343 FL Primary

Addresses

Primary practice location

8212 W Flagler St
Miami, FL 33144-2028

Mailing address

8212 W Flagler St
Miami, FL 33144-2028
Phone (305) 444-7799

Other identifiers 1

IdentifierTypeStateIssuer
251662400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040331001503 FL Practitioner - Internal Medicine 3072505981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8212 W Flagler St
Miami, FL 33144-2028
Phone (305) 444-7799

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Otero Medical Centers Inc Internal Medicine CurrentSince Oct 15, 2008 Accepting new patients
Vega Health Center Inc Internal Medicine PastSince May 8, 2022 Accepting new patients
Medchoice Health Centers Inc. Internal Medicine Past Accepting new patients

Locations

8212 W Flagler St
Miami, FL 33144
Phone (305) 444-7799

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1760419410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8212 W FLAGLER ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442028",
            "telephone_number": "305-444-7799",
            "fax_number": "305-860-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8212 W FLAGLER ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331442028",
            "telephone_number": "305-444-7799",
            "fax_number": "305-860-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTERO",
        "first_name": "JUAN",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME71343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251662400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.