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OTTO L SECADA MDPA NPI 1881983658


NPI Information

NPI: 1881983658
Provider Name: OTTO L SECADA MDPA
Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
2387 W 68TH ST
SUITE 203
HIALEAH, FL
ZIP 33016
Phone: (305) 828-5677
Get Directions

OTTO L SECADA MDPA is a geriatric medicine internal medicine in Hialeah, FL. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. OTTO L SECADA MDPA NPI is 1881983658. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2387 W 68TH ST
SUITE 203
HIALEAH, FL
ZIP 33016-889
Phone: (305) 828-5677
Fax: (305) 828-9196

The provider's authorized official is Otto L Secada .
The authorized official title is Physician and has the following contact phone number (305) 828-5677.

The enumeration date for this NPI number is 4/1/2011 and was last updated on 12/8/2011.


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
1207RG0300XInternal MedicineGeriatric MedicineME60146FLORIDAYes

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
1ET094AMEDICARE PINFLORIDA
2057633600MEDICAIDFLORIDA
3E96744MEDICARE 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: 11/14/2023

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