Jimmy N. Otero, C-SA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

15-345 Issued in CO

Practice address

5079 SW 103Rd Ave
Cooper City, FL 33328-4900

Phone

(954) 534-4855

Fax

(954) 252-4073

NPI assigned

Jun 5, 2015

Last updated

Jun 5, 2015By the provider in NPPES

Sex

Male

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

Practice roles

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.

• Ryley Group Inc.

  • Surgical Assistant
  • Cooper City, FL
  • NPI 1427433598
  NPD (past) Authorized official
• Med Solutions Group LLC

  • Surgical Assistant
  • Cooper City, FL
  • NPI 1588115885
  NPD (past)

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

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433462400000",
    "number": "1942680731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5079 SW 103RD AVE",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333284900",
            "telephone_number": "954-534-4855",
            "fax_number": "954-252-4073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5079 SW 103RD AVE",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "333284900",
            "telephone_number": "954-534-4855",
            "fax_number": "954-252-4073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTERO",
        "first_name": "JIMMY",
        "middle_name": "N.",
        "credential": "C-SA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-05",
        "last_updated": "2015-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "CO",
            "license": "15-345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oriental Therapy Center LLC
• Roxana C Orta, APRN
• Orthopedic Sports & Rehabilitation Center
• Andrea Ortiz Falero, SLP
• Osuri I. Yau, DDS PA
• Amy Suzanne Ouellette, DC
• Owens Chiropractic & Massage, LLC
• Laila D Owens, D.C.
• Carlos A. Pagan
• Joel Alexander Palau

• Surgical Assistant in Cooper City, FL
• Providers in Cooper City, FL by specialty
• Surgical Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; 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.