Rosana Otano Lopez, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

17419 Issued in PR

Practice address

Torre San Vicente de Paul
Suite 510
San German, PR 00683-0327

Phone

(787) 346-6763

Fax

(787) 892-1920

NPI assigned

Jan 2, 2009

Last updated

Jul 21, 2009By 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

Medicare fee-for-service enrollment

Enrolled in PR

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

Locations

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.

• Puerto Rico Medical Emergency Group P.S.C.

  • Emergency Medicine Physician
  • Ponce, PR
  • NPI 1629261011
  Medicare reassignment NPD

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

{
    "created_epoch": "1230854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248134400000",
    "number": "1871739458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 327",
            "city": "LARES",
            "state": "PR",
            "postal_code": "006690327",
            "telephone_number": "787-346-6763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TORRE SAN VICENTE DE PAUL",
            "address_2": "SUITE 510",
            "city": "SAN GERMAN",
            "state": "PR",
            "postal_code": "006830327",
            "telephone_number": "787-346-6763",
            "fax_number": "787-892-1920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTANO LOPEZ",
        "first_name": "ROSANA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-02",
        "last_updated": "2009-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harold Ortiz-Alvarado
• Genesis Michelle Ortiz
• Johanna Sabel Ortiz, MD
• Lisa Ortiz, MD
• Omayra Ortiz
• Yolanda Otero-Igaravidez, MD
• Victor Adriel Otero, MD
• Oxilogics
• Jesus E Padilla Rosado, EMT-P
• Luis Angel Padilla Santiago

• General Practice Physician in San German, PR
• Providers in San German, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; 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.