Active NPI
Rolando Tomas Otero, M.D.
- Pediatrics Physician
- Fort Myers, FL
National Provider Identifier
1831396472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME0102039
- Practice address
- 13770 Plantation Rd Ste 1
Fort Myers, FL 33912-4460 - Phone
- (239) 689-5561
- Fax
- (239) 689-5958
- NPI assigned
- Jun 28, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME0102039 | FL | Primary |
Addresses
Primary practice location
13770 Plantation Rd Ste 1
Fort Myers, FL 33912-4460
Mailing address
13770 Plantation Rd Ste 1
Fort Myers, FL 33912-4460
Phone (239) 689-5561
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000259900 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0102039 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fort Myers Pediatrics LLC | Pediatrics | Current | Accepting new patients |
Locations
13770 Plantation Rd
Ste 1
Fort Myers, FL 33912
Phone (239) 689-5561
5285 Summerlin Rd
Ste 101
Fort Myers, FL 33919
Phone (239) 281-4908
Interoperability endpoints
- rolandootero@fmpllc.allscriptsdirect.net
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.
-
- Pediatrics Physician
- Fort Myers, FL
- NPI 1972823409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618272000000",
"number": "1831396472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13770 PLANTATION RD STE 1",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339124460",
"telephone_number": "239-689-5561",
"fax_number": "239-689-5958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13770 PLANTATION RD STE 1",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339124460",
"telephone_number": "239-689-5561",
"fax_number": "239-689-5958"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTERO",
"first_name": "ROLANDO",
"middle_name": "TOMAS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-28",
"last_updated": "2021-04-13",
"certification_date": "2021-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME0102039",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000259900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.