Organization Active NPI

Estudio Dental Otero Loperena LLC

  • General Practice Dentistry
  • Vega Alta, PR
National Provider Identifier
1972144301
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
ESTUDIO DENTAL OTERO LOPERENA LLC
Practice address
36 Carr 2 Ste 302
Vega Alta, PR 00692-6092
Phone
(787) 883-6234
NPI assigned
Oct 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Authorized official

Name
Dr. Erick Otero Garcia, DMD
Title
Dentist
Phone
(787) 883-6234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

36 Carr 2 Ste 302
Vega Alta, PR 00692-6092

Mailing address

36 Carr 2 Ste 302
Vega Alta, PR 00692-6092
Phone (787) 883-6234

Other names 1

  • ESTUDIO DENTAL OTERO LOPERENA Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200305000403 PR Part B Supplier - Clinic/Group Practice 8921435843 Receives reassigned benefits from 2 practitioners
Practice locations: Corozal, PR; Vega Alta, PR

National Provider Directory

National Provider Directory

Locations

120 Carr 159
Ste 203
Corozal, PR 00783

36 Carr 2
Ste 302
Vega Alta, PR 00692
Phone (787) 883-6234

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739491200000",
    "number": "1972144301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 CARR 2 STE 302",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006926092",
            "telephone_number": "787-883-6234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 CARR 2 STE 302",
            "city": "VEGA ALTA",
            "state": "PR",
            "postal_code": "006926092",
            "telephone_number": "787-883-6234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESTUDIO DENTAL OTERO LOPERENA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-07",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A",
        "authorized_official_last_name": "OTERO GARCIA",
        "authorized_official_first_name": "ERICK",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "787-883-6234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ESTUDIO DENTAL OTERO LOPERENA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vega Alta, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.