Iris Otero Maldonado, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ACN1032 Issued in FL

Practice address

1808 Santa Isabel
Urb. El Pilar
San Juan, PR 00926

Phone

(787) 554-9484

NPI assigned

Mar 8, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1942523758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4825 BAY HERON PL APT 509",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336162926",
            "telephone_number": "787-554-9484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 SANTA ISABEL",
            "address_2": "URB. EL PILAR",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00926",
            "telephone_number": "787-554-9484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6726 66th street N",
            "address_purpose": "LOCATION",
            "city": "Pinellas Park",
            "state": "FL",
            "postal_code": "33781",
            "country_code": "US",
            "telephone_number": "727-873-3891",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTERO MALDONADO",
        "first_name": "IRIS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-08",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "7376",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ACN1032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erica Otero Cardenas, MD
• Carmen Teresita Otero Cordero, T.S
• Iliana Otero Diaz
• Janet Michelle Otero Flores
• Francisco J Otero Lopez, MD
• Andrea Isabel Otero Rios, MD
• Yamilet Otero Romero, NP
• Diego Enrique Otero Santiago
• Sofia Paola Otero Segui, BS
• Anyely Del Carmen Otero Tosado

• Internal Medicine Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Internal Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.