Victor Emmanuel Otano-Rivera, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

23188 Issued in PR

Practice address

Metropolitan Office Building
153 Calle Jose de Diego
Arecibo, PR 00612

Phone

(215) 662-2891

NPI assigned

Mar 21, 2019

Sex

Male

Sole proprietor

No

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

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Urology

Education

Ponce School of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Puerto Rico Urology Group LLCGroup PAC ID 7012230519, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bayamon Medical Center Hospital, Bayamon, PR, CCN 400032
• Hospital Metropolitano Dr Susoni Hospital, Arecibo, PR, CCN 400117

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: victor.otanorivera@4300.securemail.prognocis.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Borinquen Urology LLC

  • Urology Physician
  • Arecibo, PR
  • NPI 1174353734
  Medicare reassignment NPD Authorized official
• Puerto Rico Urology Group LLC

  • Urology Physician
  • Mayaguez, PR
  • NPI 1356764278
  Medicare reassignment Care Compare group NPD

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

• Bayamon Medical Center Corp

  • General Acute Care Hospital
  • Bayamon, PR
  • NPI 1912930488
  Care Compare affiliation
• Hospital Dr. Susoni. Inc.

  • General Acute Care Hospital
  • Arecibo, PR
  • NPI 1104862044
  Care Compare affiliation

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

{
    "created_epoch": "1553126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722816000000",
    "number": "1972063568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "URB. COSTA NORTE CALLE PALMAS 114",
            "city": "HATILLO",
            "state": "PR",
            "postal_code": "00659",
            "telephone_number": "267-624-3578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "METROPOLITAN OFFICE BUILDING",
            "address_2": "153 CALLE JOSE DE DIEGO",
            "city": "ARECIBO",
            "state": "PR",
            "postal_code": "00612",
            "telephone_number": "215-662-2891"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "660 Calle Lady Di",
            "address_2": "Urb Los Almendros",
            "address_purpose": "LOCATION",
            "city": "Ponce",
            "state": "PR",
            "postal_code": "007163534",
            "country_code": "US",
            "telephone_number": "787-313-7405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OTANO-RIVERA",
        "first_name": "VICTOR",
        "middle_name": "EMMANUEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-21",
        "last_updated": "2024-08-05",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PR",
            "license": "23188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Lourdes Ortiz, MD
• Mirta Ortiz, RNBSN
• Ortodoncistas Gonzalez, PSC
• Oscar a. Pabon Rodriguez (Rehabilitation Medical Supplies)
• Brenda I Osorio, M.D.
• Lourdes Magaly Otero Hernandez
• Liz M Otero la Luz, PHARM D.
• Sylvia Enid Otero Rodriguez, RPT
• Francisco Otero, RN
• Daoud Otoman Mustafa Sr.

• Urology Physician in Arecibo, PR
• Providers in Arecibo, PR by specialty
• Urology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.