Carmen Teresita Otero Cordero, T.S

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

7039 Issued in PR

Practice address

Cond. Parque de la Vista 2 1294
Calle Juan Baiz Apt 2133
San Juan, PR 00924-1203

Phone

(787) 426-6161

NPI assigned

Sep 14, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy, Trade School Graduate

State licenses

Practice roles

Locations

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.

• HPM Foundation Inc

  • Federally Qualified Health Center (FQHC)
  • San Juan, PR
  • NPI 1316167661
  Medicare reassignment NPD
• HPM Foundation Inc

  • Pharmacy
  • San Juan, PR
  • NPI 1881821874
  NPD
• Me Nutrition Services PSC

  • Renal Nutrition Registered Dietitian
  • Guaynabo, PR
  • NPI 1285024018
  NPD (past)

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1790067924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COND. PARQUE DE LA VISTA 2 1294",
            "address_2": "CALLE JUAN BAIZ APT 2133",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009241203",
            "telephone_number": "787-426-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COND. PARQUE DE LA VISTA 2 1294",
            "address_2": "CALLE JUAN BAIZ APT 2133",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009241203",
            "telephone_number": "787-426-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTERO CORDERO",
        "first_name": "CARMEN",
        "middle_name": "TERESITA",
        "name_prefix": "Miss",
        "credential": "T.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-14",
        "last_updated": "2022-07-21",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PR",
            "license": "10436",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "PR",
            "license": "7039",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORKER",
            "identifier": "#10436",
            "state": "PR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PSCOLOGA CLNICA",
            "identifier": "7039",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Omar Ostolaza
• Virginia Osusa Figueroa, MD
• Osvaldo Jimenez,M.D.,PSC.
• OT Community Health Services
• Erica Otero Cardenas, MD
• Iliana Otero Diaz
• Janet Michelle Otero Flores
• Francisco J Otero Lopez, MD
• Iris Otero Maldonado, MD
• Andrea Isabel Otero Rios, MD

• Clinical Psychologist in San Juan, PR
• Providers in San Juan, PR by specialty
• Clinical Psychologist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.