Organization Active NPI

Otto L Secada Mdpa

  • Geriatric Medicine (Internal Medicine) Physician
  • Hialeah, FL
National Provider Identifier
1881983658
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
ME60146 Issued in FL
Legal business name
OTTO L SECADA MDPA
Practice address
7150 W 20TH Ave Ste 209
Hialeah, FL 33016-5531
Phone
(305) 828-5677
Fax
(305) 828-9196
NPI assigned
Apr 1, 2011
Last updated
Dec 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Authorized official

Name
Dr. Otto L Secada, MDNPI 1942297205
Title
Physician
Phone
(305) 828-5677

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X ME60146 FL Primary

Addresses

Primary practice location

7150 W 20TH Ave Ste 209
Hialeah, FL 33016-5531

Mailing address

7150 W 20TH Ave Ste 209
Hialeah, FL 33016-5531
Phone (305) 828-5677

Other identifiers 1

IdentifierTypeStateIssuer
057633600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110411000144 FL Part B Supplier - Clinic/Group Practice 7618151044 Receives reassigned benefits from 2 practitioners
Practice locations: Hialeah, FL

National Provider Directory

National Provider Directory

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1301616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764806400000",
    "number": "1881983658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7150 W 20TH AVE STE 209",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165531",
            "telephone_number": "305-828-5677",
            "fax_number": "305-828-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7150 W 20TH AVE STE 209",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330165531",
            "telephone_number": "305-828-5677",
            "fax_number": "305-828-9196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTTO L SECADA MDPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-01",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A",
        "authorized_official_last_name": "SECADA",
        "authorized_official_first_name": "OTTO",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "305-828-5677",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME60146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "057633600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.