| Luis E Otero Md Pa | |
|
3142 S Congress Ave Palm Springs FL 33461-2552 | |
| (561) 967-3186 | |
| (561) 967-3187 |
| Full Name | Luis E Otero Md Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 3142 S Congress Ave, Palm Springs, Florida |
| Authorized Official Name and Position | Luis E Otero (MEDICAL DOCTOR) |
| Authorized Official Contact | 5619673186 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Luis E Otero Md Pa 9874 Shepard Pl Wellington FL 33414-6418 Ph: (561) 967-3186 | Luis E Otero Md Pa 3142 S Congress Ave Palm Springs FL 33461-2552 Ph: (561) 967-3186 |
| NPI Number | 1790926616 |
|---|---|
| Provider Enumeration Date | 03/23/2009 |
| Last Update Date | 08/24/2021 |
| Medicare PECOS PAC ID | 2264580141 |
|---|---|
| Medicare Enrollment ID | O20090504000046 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790926616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME93871 (Florida) | Primary |
| Provider Name | Luis E Otero |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902910664 PECOS PAC ID: 2466557913 Enrollment ID: I20070412000193 |
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