JUAN OTAZU (NPI# 1336531045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336531045 |
| Entity Type | Individual |
| Full Name | JUAN OTAZU |
| Credential | ARNP |
| Practice Address |
8726 W Waters Ave Tampa FL 33615-1714 |
| Mailing Address |
12171 Sw 268th St Homestead FL 33032-8001 |
| Practice Telephone | 8137121726 |
| Mailing Telephone | 3052780200 |
| Mailing Fax Number | 3058514110 |
| Enumeration Date | 2015-03-04 |
| Last Update Date | 2015-03-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9290738 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | ARNP | ARNP9290738 | 01 |
| Street Address |
8726 W WATERS AVE |
| City | TAMPA |
| State | FL |
| Zip Code | 33615-1714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679557912 | Nydia Gricelle Deltoro Rivera | General Practice | 8726 W Waters Ave, Tampa, FL 33615-1714 | 2005-11-30 |
| 1619487659 | Joel Ernesto Perez | Nurse Practitioner | 8726 W Waters Ave, Tampa, FL 33615-1714 | 2017-10-04 |
| 1215345111 | Rosa Maria Fiorenzano | Nurse Practitioner | 8726 W Waters Ave, Tampa, FL 33615-1714 | 2014-07-24 |
| 1437594306 | Marilin Mariana Hernandez Rodriguez | General Practice | 8726 W Waters Ave, Tampa, FL 33615-1714 | 2013-05-06 |
| 1720323223 | Mayri Torres | Nurse Practitioner | 8726 W Waters Ave, Tampa, FL 33615-1714 | 2012-12-10 |
| 1861796435 | American Care of Tampa, Inc | Internal Medicine | 8726 W Waters Ave, Tampa, FL 33615-1714 | 2010-12-22 |
| 1043220254 | Vasilios Sierros | Internal Medicine | 8726 W Waters Ave, Tampa, FL 33615-1714 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083125132 | The Ida House Assisted Living LLC | Assisted Living Facility | 6014 Rosewood Dr, Tampa, FL 33615 | 2017-10-17 |
| 1235671785 | Magnet Home Health Care Services, LLC | Home Health | 5700 Memorial Highway Suite G X H 102, Tampa, FL 33615 | 2016-11-15 |
| 1891247532 | Martin Esuzor | Nurse Practitioner | 7918 Hillsborough Avenue, Tampa, FL 33615 | 2016-10-28 |
| 1902263007 | Marie E. Simeon | Nursing Facility/Intermediate Care Facility | 8206 Pennywell Place, Tampa, FL 33615 | 2016-01-20 |
| 1598183659 | Mustafa Mohammad | Dermatology | 6001 Memorial Highway, Tampa, FL 33615 | 2014-04-04 |
| 1710327101 | Kelly A Alvarez | Case Manager/Care Coordinator | 7007 Cobblewood Ct, Tampa, FL 33615 | 2013-06-28 |
| 1336497080 | Serenity Home of Tampa Alf LLC | Assisted Living Facility | 6013 Cresthill Drive, Tampa, FL 33615 | 2012-08-28 |
| 1063777563 | Jaime Alexander Pacheco | Chiropractor | 6301 Memorial Hwy Suit 304, Tampa, FL 33615 | 2012-07-10 |
| 1558656678 | Scripts Direct, LLC | Pharmacy | 8313 W. Hillsborough Ave., # 260, Tampa, FL 33615 | 2011-06-16 |
| 1508178245 | The Spring of Tampa Bay | Counselor | 2810 N. 35 St, Tampa, FL 33615 | 2010-07-10 |
| Find all providers in zip 33615 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477153278 | Desirae A. Segura | Nurse Practitioner | 8218 Marauder Dr, Tampa, FL 33621-1426 | 2020-10-29 |
| 1750980173 | Vanessa P Criales | Nurse Practitioner | 4708 Pebblepointe Pl, Tampa, FL 33634-6271 | 2020-10-19 |
| 1023616778 | Latoya Tanique Sinclair | Nurse Practitioner | 4121 E Busch Blvd Apt 804, Tampa, FL 33617-5970 | 2020-10-14 |
| 1801403068 | Krystal G Solie | Nurse Practitioner | 14105 Mccormick Dr, Tampa, FL 33626-3019 | 2020-09-30 |
| 1578179784 | Brooke Sliman | Nurse Practitioner | 403 S Albany Ave Unit 2, Tampa, FL 33606-2180 | 2020-09-22 |
| 1538773791 | Cindy Irene Gearheart | Nurse Practitioner | 7712 W Powhatan Ave, Tampa, FL 33615-4133 | 2020-09-04 |
| 1447864921 | Kimberly Marie Hymiller | Nurse Practitioner | 4600 N Habana Ave Ste 13, Tampa, FL 33614-7123 | 2020-09-02 |
| 1508479841 | Andrea Mole | Nurse Practitioner | 5035 E Busch Blvd Ste 1a&1b, Tampa, FL 33617-5310 | 2020-08-26 |
| 1467065896 | Cho Yee Mon Maung | Nurse Practitioner | 2606 W Waters Ave, Tampa, FL 33614-1835 | 2020-08-25 |
| 1235741141 | Luis V Amat | Nurse Practitioner | 2301 W Clifton St, Tampa, FL 33603-1027 | 2020-08-21 |
| Find all providers in TAMPA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.