Provider Type Icon

ANTONIO OTERO DDS PA NPI 1174742555


NPI Information

NPI: 1174742555
Provider Name: ANTONIO OTERO DDS, PA
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
782 NW 42ND AVE
SUITE 538
MIAMI, FL
ZIP 33126
Phone: (305) 442-8866
Get Directions

ANTONIO OTERO DDS, PA is a general practice dentist in Miami, FL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. ANTONIO OTERO DDS, PA NPI is 1174742555. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

782 NW 42ND AVE
SUITE 538
MIAMI, FL
ZIP 33126-541
Phone: (305) 442-8866
Fax: (305) 448-6407

The provider's authorized official is Antonio Otero .
The authorized official title is President and has the following contact phone number (305) 442-8866.

The enumeration date for this NPI number is 4/24/2007 and was last updated on 11/30/2011.


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
11223G0001XDentistGeneral Practice10814FLORIDAYes

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
1077828100MEDICAIDFLORIDA

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.