Nelly A Otero-Rodriguez, M.D

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME52940 Issued in FL

Practice address

6909 Old Highway 441 S Ste 105
Mount Dora, FL 32757-7039

Phone

(352) 800-5103

NPI assigned

Jan 18, 2007

Last updated

Oct 2, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Regal Family Care, Inc.

  • Family Medicine Physician
  • Clermont, FL
  • NPI 1497806715
  NPD (past)
• Ector County Hospital District

  dba MCH Urgent Care

  • Urgent Care Clinic/Center
  • Odessa, TX
  • NPI 1366680555
  NPD (past)
• Ector County Hospital District

  dba MCH Family Health Clinic

  • Federally Qualified Health Center (FQHC)
  • Odessa, TX
  • NPI 1578265302
  NPD (past)
• Texas Tech University Health Sciences Center Odessa

  • Family Medicine Physician
  • Odessa, TX
  • NPI 1407845084
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727827200000",
    "number": "1821141680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2379",
            "address_2": "MINNEOLA",
            "city": "MINNEOLA",
            "state": "FL",
            "postal_code": "347552379",
            "telephone_number": "352-255-3229",
            "fax_number": "180-059-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6909 OLD HIGHWAY 441 S STE 105",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327577039",
            "telephone_number": "352-800-5103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTERO-RODRIGUEZ",
        "first_name": "NELLY",
        "middle_name": "A",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2024-10-02",
        "certification_date": "2024-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME52940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "09918",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Oneill-Delgado, PA-C
• Oral and Facial Surgery of Florida, Inc.
• Cecilia Orellana, LPN
• Jayla Ortiz
• Diana Osorio
• Sharron Otremba, MACCCSLP
• P-3 Medical Inc
• Juan Carlos Pagan, DC
• William Pankow, APRN
• Catherine Lim Panlilio, DOCTOR OF PHYSICAL T

• Family Medicine Physician in Mount Dora, FL
• Providers in Mount Dora, 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 Oct 2, 2024; 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.