Lareishka Mairym Otero Jimenez

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

003490 Issued in PR

Practice address

Bo Naranjo Carr 976 K3 H3 Int
Fajardo, PR 00738

Phone

(787) 372-1171

NPI assigned

Sep 12, 2024

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1726099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726272000000",
    "number": "1881420115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 417",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007380417",
            "telephone_number": "787-372-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO NARANJO CARR 976 K3 H3 INT",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "00738",
            "telephone_number": "787-372-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTERO JIMENEZ",
        "first_name": "LAREISHKA",
        "middle_name": "MAIRYM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-12",
        "last_updated": "2024-09-14",
        "certification_date": "2024-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "PR",
            "license": "003490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jose C. Ortiz, MSW
• Jose R Ortiz
• Nicole E Ortiz
• Yma Osorio, M.D.
• Jose E Otero Garcia, M.D.
• Pedro Antonio Pacheco Maldonado, M.D.
• Roberto Luis Padilla Lozada
• Grace Palmer Quinones, MD
• Raiza M Parrilla-Calo, LND
• Stephanie L Parson Perez

• Home Health Registered Nurse in Fajardo, PR
• Providers in Fajardo, PR by specialty
• Home Health Registered Nurse in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2024; 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.