ANISIA OTERO (NPI# 1811313190) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811313190 |
| Entity Type | Individual |
| Full Name | ANISIA OTERO |
| Credential | MD |
| Practice Address |
30334 Old Dixie Hwy Homestead FL 33033 |
| Mailing Address |
30334 Old Dixie Hwy Homestead FL 33033-3215 |
| Practice Telephone | 3055550000 |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2017-04-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME121948 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | DEA | FO5211608 | 01 |
| Street Address |
30334 OLD DIXIE HWY |
| City | HOMESTEAD |
| State | FL |
| Zip Code | 33033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376563668 | Miami Dade Health and Rehabilitation Services | Exclusive Provider Organization | 30334 Old Dixie Hwy, Homestead, FL 33033-3215 | 2006-07-20 |
| 1235534546 | Denis Nunez Sanchez | Nurse Practitioner | 30334 Old Dixie Hwy, Homestead, FL 33033-3215 | 2014-10-29 |
| 1982870143 | Coral Reef Medical Group LLC | Family Medicine | 30334 Old Dixie Hwy, Homestead, FL 33033-3215 | 2008-05-07 |
| 1679603237 | Olga Lopez | Physician Assistant | 30334 Old Dixie Hwy, Homestead, FL 33033-3215 | 2007-03-06 |
| 1144315300 | Antonio E. Blanco, M.d., P.a. | Internal Medicine | 30334 Old Dixie Hwy, Homestead, FL 33033-3215 | 2006-10-04 |
| 1336231562 | Antonio E Blanco | Internal Medicine | 30334 Old Dixie Hwy, Homestead, FL 33033-3215 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003451832 | Rodolfo Sigler | Pharmacist | 1499 South Dixie Highway, Homestead, FL 33033 | 2019-11-15 |
| 1891337119 | Ricardo Saez | Nurse Practitioner | 2936 Se 3rd Street, Homestead, FL 33033 | 2019-10-09 |
| 1164904876 | Mayrelis Rodriguez Chaviano | Behavior Technician | 1510 E Mowry Dr Apt 107, Homestead, FL 33033 | 2018-08-30 |
| 1598252470 | Mcdivitt Arnold | Community/Behavioral Health | 945 Ne 34 Ave, 104, Homestead, FL 33033 | 2018-04-17 |
| 1972007870 | Anaivys Gomez Abreu | Behavior Technician | 1504 E Mowry Dr Apt 101, Homestead, FL 33033 | 2018-03-23 |
| 1023519261 | Lifeway Programs LLC | Community/Behavioral Health | 15300 Sw 288th St, Homestead, FL 33033 | 2018-02-22 |
| 1447759964 | Yaneisis Salazar Barata | Physical Therapy Assistant | 31 N Krome, Homestead, FL 33033 | 2018-02-10 |
| 1184132763 | C.o.r. Injury Centers of Homestead Inc. | Clinic/Center | 15600 Sw 288th Street, Homestead, FL 33033 | 2018-01-17 |
| 1790299949 | Aidalis Hechavarria | Behavior Technician | 1548 Ne 8th St Apt 105, Homestead, FL 33033 | 2017-11-27 |
| 1053839621 | Generosa E Gonzalez | Behavior Technician | 30322 Sw 161 Ave, Homestead, FL 33033 | 2017-09-05 |
| Find all providers in zip 33033 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255930871 | Haymee Rodriguez | Family Medicine | 18751 Sw 295th Ter, Homestead, FL 33030-2310 | 2020-10-23 |
| 1538773346 | Beatriz Isaza | Family Medicine | 27186 Sw 139th Pl, Homestead, FL 33032-8837 | 2020-08-31 |
| 1588139166 | Marcos Rafael Oliva | Family Medicine | 11488 Sw 242nd St, Homestead, FL 33032-3110 | 2018-10-10 |
| 1659850501 | Jacqueline Tatiana Cuellar I | Family Medicine | 920 Bougainville Blvd, Homestead, FL 33039-0001 | 2018-08-11 |
| 1134501067 | Yuniet Moya | Family Medicine | 946 Ne 42nd Ter, Homestead, FL 33033-6615 | 2015-06-27 |
| 1407096662 | Ana Meyvis Lugo-lopez | Family Medicine | 1300 Ne 41 Pl, Homestead, FL 33033-5857 | 2009-03-02 |
| 1174797724 | Mariela Perez Pa | Family Medicine | 698 N Homestead Blvd Ste 104, Homestead, FL 33030-6208 | 2008-04-15 |
| 1326220229 | Esdras Lopez-garcia | Family Medicine | 151 Nw 11th St Ste E102, Homestead, FL 33030-4350 | 2007-12-03 |
| 1275606832 | Interamerican Medical Center Group LLC | Family Medicine | 1435 Ne 8th St, Homestead, FL 33033-4506 | 2006-11-15 |
| 1649371766 | Iliana Hernandez | Family Medicine | 1645 Ne 8th St, Homestead, FL 33033-4712 | 2006-09-25 |
| Find all providers in HOMESTEAD | ||||
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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.