NPIMap

Individual provider Active NPI

Antonio Manuel Otero Lopez, M.D.

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Rio Piedras, PR
National Provider Identifier
1891802450
Registry record updated Mar 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X
License
13393 Issued in PR
Practice address
Clinica de la Escuela de Medicina
Reparto Metropolitano Shopping, Ave. Americo Miranda
Rio Piedras, PR 00921
Phone
(787) 764-5095
NPI assigned
Aug 23, 2006
Last updated
Mar 19, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X 13393 PR Primary

Addresses

Primary practice location

Clinica de la Escuela de Medicina
Reparto Metropolitano Shopping, Ave. Americo Miranda
Rio Piedras, PR 00921

Mailing address

Ortopedia RCM
PO Box 29134
San Juan, PR 00929-0134
Phone (787) 764-5095

Other identifiers 1

IdentifierTypeStateIssuer
13393OtherPRSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050913000339 PR Practitioner - Orthopedic Surgery 6002849874 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Puerto Rico School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Recinto de Ciencias MedicasGroup PAC ID 3678469962, shared by 49 NPIs, 246 clinicians

Practice addresses (Care Compare)

Ave 65 de Infanteria
Carr 3 KM 8.3
Carolina, PR 00984-0001
Phone (787) 757-6420

Centro Medico de PR
Bo Monacillos Adm de Servicios Medicos
Rio Piedras, PR 00935
Phone (787) 777-3535

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement14
Knee replacement32
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Recinto de Ciencias Medicas CurrentSince Aug 1, 2003 Accepting new patients
Recinto de Ciencias Medicas Adult Reconstructive Orthopaedic Surgery CurrentSince Jul 19, 2005 Accepting new patients
Recinto de Ciencias Medicas CurrentSince Aug 1, 2003 Accepting new patients
Servicios Medicos Universitarios Inc Past Accepting new patients
Metrohealth, Inc. Past Accepting new patients
Departamento de Salud Oficial Past Accepting new patients
Pcma Palliative Division LLC Past Accepting new patients
Departamento de Salud Past Accepting new patients

Locations

Centro Medico De
San Juan, PR 00935
Phone (781) 763-4149

Organizations & group practices 8

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363651200000",
    "number": "1891802450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ORTOPEDIA RCM",
            "address_2": "PO BOX 29134",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009290134",
            "telephone_number": "787-764-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CLINICA DE LA ESCUELA DE MEDICINA",
            "address_2": "REPARTO METROPOLITANO SHOPPING, AVE. AMERICO MIRANDA",
            "city": "RIO PIEDRAS",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "787-764-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTERO LOPEZ",
        "first_name": "ANTONIO",
        "middle_name": "MANUEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2013-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "PR",
            "license": "13393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "13393",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Piedras, PR

Sources for this page

Verify at the official NPI Registry.