1669488813 NPI number — MICHAEL OTERO M.D.

Table of content: MICHAEL OTERO M.D. (NPI 1669488813)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1669488813 NPI number — MICHAEL OTERO M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
OTERO
Provider First Name:
MICHAEL
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1669488813
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/29/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 190990
Provider Second Line Business Mailing Address:
HATO REY STATION
Provider Business Mailing Address City Name:
SAN JUAN
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00919-0990
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-769-2477
Provider Business Mailing Address Fax Number:
787-276-0065

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
ROAD # 3 KM12.3
Provider Second Line Business Practice Location Address:
65 AVENUE
Provider Business Practice Location Address City Name:
CAROLINA
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00985
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-769-2477
Provider Business Practice Location Address Fax Number:
787-276-0065
Provider Enumeration Date:
07/31/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207L00000X , with the licence number:  10,007 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 89194 . This is a "PROVIDER NUMBER" identifier , issued by the state of ( PR ) . This identifiers is of the category "OTHER".