Luis E Otero MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME93871 Issued in FL

Legal business name

LUIS E OTERO MD PA

Practice address

3142 S Congress Ave
Palm Springs, FL 33461-2552

Phone

(561) 967-3186

Fax

(561) 967-3187

NPI assigned

Mar 23, 2009

Last updated

Aug 24, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Luis E Otero, MDNPI 1902910664

Title

Medical Doctor

Phone

(561) 967-3186

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Luis E Otero, M.D.

  • Family Medicine Physician
  • Palm Springs, FL
  • NPI 1902910664
  Medicare reassignment NPD Authorized official
• Elba Garcia Mesa, APRN

  • Family Nurse Practitioner
  • West Palm Beach, FL
  • NPI 1649017187
  NPD (past)
• Israel Machin, M.D.

  • Family Medicine Physician
  • Lake Clarke Shores, FL
  • NPI 1295711349
  NPD (past)
• Vanessa Machin, MD

  • Internal Medicine Physician
  • West Palm Beach, FL
  • NPI 1396440764
  NPD (past)
• Daniel Pino Ruiz, APRN

  • Family Nurse Practitioner
  • Lake Clarke Shores, FL
  • NPI 1316302789

  Multi-Specialty

  NPD (past)
• Yanet Plutin Santos, APRN11033111

  • Family Nurse Practitioner
  • Lake Clarke Shores, FL
  • NPI 1568203818
  NPD (past)

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

{
    "created_epoch": "1237766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629763200000",
    "number": "1790926616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9874 SHEPARD PL",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334146418",
            "telephone_number": "561-967-3186",
            "fax_number": "561-967-3187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3142 S CONGRESS AVE",
            "city": "PALM SPRINGS",
            "state": "FL",
            "postal_code": "334612552",
            "telephone_number": "561-967-3186",
            "fax_number": "561-967-3187"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6850 Coral Way Ste 507",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331551758",
            "country_code": "US",
            "telephone_number": "305-667-1080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LUIS E OTERO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-23",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A",
        "authorized_official_last_name": "OTERO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "561-967-3186",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME93871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dianoris Lora
• Mayelin Lorenzo Fernandez
• Robert David Lovinger, M.D.
• Webster Luccin
• Amanda Lugo Llerena
• Raquel Luis Rodriguez
• Lungmd, PA (Ideal Primary Care)
• Adelys Elena Luzardo
• Chantal Lynch
• Macarius Max & Daniel, LLC (Stanton Optical)

• Family Medicine Physician in Palm Springs, FL
• Providers in Palm Springs, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.