Mr Pablo Otero, RN is a
Registered Nurse based in Theresa, New York. Mr Pablo Otero is licensed to practice in New York (license number 561931) and his current practice location is
219 Pine St, Theresa, New York. He can be reached at his office (for appointments etc.) via phone at
(315) 628-4214.
NPI number for Mr Pablo Otero is 1104993260 and his current mailing address is 219 Pine St, Theresa, New York. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104993260.
Provider's Profile
| Full Name | Mr Pablo Otero |
|---|
| Gender | Male |
|---|
| Speciality | Registered Nurse |
|---|
| Location | 219 Pine St, Theresa, New York |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1104993260
- Provider Enumeration Date: 11/30/2006
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Mr Pablo Otero such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104993260 | NPI | - | NPPES |
| 02171286 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 561931 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Pablo Otero is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Pablo Otero, RN
219 Pine St,
Theresa, NY 13691-2103
Ph: (315) 628-4214 | Mr Pablo Otero, RN
219 Pine St,
Theresa, NY 13691-2103
Ph: (315) 628-4214 |
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