Provider Type Icon

JORGE E OTERO MD PA NPI 1639296361


NPI Information

NPI: 1639296361
Provider Name: JORGE E OTERO MD PA
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
6101 WEBB RD STE 306
TAMPA, FL
ZIP 33615
Phone: (813) 882-0141
Get Directions

JORGE E OTERO MD PA is a specialist in Tampa, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. JORGE E OTERO MD PA NPI is 1639296361. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6101 WEBB RD STE 306
TAMPA, FL
ZIP 33615-866
Phone: (813) 882-0141
Fax: (813) 885-4965

The provider's authorized official is Gloria Otero .
The authorized official title is Office Manager and has the following contact phone number (813) 882-0141.

The enumeration date for this NPI number is 3/26/2007 and was last updated on 4/24/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistME21884FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1K3417MEDICARE ID-TYPE UNSPECIFIEDFLORIDAMEDICARE IDENTIFICATION #
2D53730MEDICARE UPINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.