Active NPI
Ruby Ann Otero
- Pharmacist
- Naranjito, PR
National Provider Identifier
1871183897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6746
- Practice address
- Sector Coqui #2
Naranjito, PR 00719-0071 - Phone
- (787) 616-6214
- NPI assigned
- Jan 23, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pharmacist | 183500000X | 6746 | PR | Primary |
Addresses
Primary practice location
Sector Coqui #2
Naranjito, PR 00719-0071
Mailing address
Sector Coqui #2
Naranjito, PR 00719
Phone (787) 616-6214
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4794581 | Other | DRIVER LICENSE |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6746 | PR | MD | Group Psychotherapy Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611360000000",
"number": "1871183897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SECTOR COQUI #2",
"city": "NARANJITO",
"state": "PR",
"postal_code": "00719",
"telephone_number": "787-616-6214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SECTOR COQUI #2",
"city": "NARANJITO",
"state": "PR",
"postal_code": "007190071",
"telephone_number": "787-616-6214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OTERO",
"first_name": "RUBY",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-23",
"last_updated": "2021-01-23",
"certification_date": "2021-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "6746",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER LICENSE",
"identifier": "4794581",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Naranjito, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.