Maritza Otero MD, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME84844 Issued in FL

Legal business name

MARITZA OTERO MD, PA

Practice address

717 Ponce de Leon Blvd
327
Coral Gables, FL 33134-2060

Phone

(305) 447-1396

Fax

(305) 267-8482

NPI assigned

Jul 27, 2006

Organization subpart

No

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

Authorized official

Name

Maritza Otero, MD

Title

President

Phone

(305) 302-5998

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294704000000",
    "number": "1871517276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8567 CORAL WAY # 187",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331552335",
            "telephone_number": "305-302-5998",
            "fax_number": "305-266-1385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 PONCE DE LEON BLVD",
            "address_2": "327",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331342060",
            "telephone_number": "305-447-1396",
            "fax_number": "305-267-8482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARITZA OTERO MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-27",
        "last_updated": "2011-01-11",
        "status": "A",
        "authorized_official_last_name": "OTERO",
        "authorized_official_first_name": "MARITZA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-302-5998",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME84844",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275488600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Coral Gables, FL
• Providers in Coral Gables, 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 Jan 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.