Otel PLLC

Primary specialty

Electrodiagnostic Medicine PhysicianTaxonomy code 204R00000X

Legal business name

OTEL PLLC

Practice address

9621 Coronado Ave NE
Albuquerque, NM 87122-3363

Phone

(800) 310-7334

NPI assigned

Sep 28, 2018

Organization subpart

No

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

Authorized official

Name

Ernesto R Otero-Lopez, MD

Title

Sole MBR

Phone

(800) 310-7334

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1538092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554681600000",
    "number": "1922583533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT.880271 PO BOX 29650",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850389650",
            "telephone_number": "800-310-7334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9621 CORONADO AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871223363",
            "telephone_number": "800-310-7334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OTEL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-28",
        "last_updated": "2019-04-08",
        "status": "A",
        "authorized_official_last_name": "OTERO-LOPEZ",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "800-310-7334",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "204R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Electrodiagnostic Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LIC",
            "identifier": "514247978",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frank X Osullivan, MD
• Osuna Medical Associates, PA
• Eseohe Osunbor
• Sue Ellen Ota, O.T.R.
• Jacqueline Otake
• Ernesto R Otero Lopez, MD
• Rebecca Anne Otero-Granger, PMHNP-BC
• Crystal Otero-Griffith, CNP
• Andrea Nicole Otero-Looney, MAC
• Roselynn Otero-Whitacre, MOTR/L

• Electrodiagnostic Medicine Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Electrodiagnostic Medicine Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; 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.