Healthcare Provider Details

I. General information

NPI: 1801791801
Provider Name (Legal Business Name): FELIX J OTERO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PR-723 KM 0.1 MANSIONES DE ASOMANTE # 10
AIBONITO PR
00705
US

IV. Provider business mailing address

HC 2 BOX 7264
BARRANQUITAS PR
00794-9300
US

V. Phone/Fax

Practice location:
  • Phone: 787-514-2159
  • Fax:
Mailing address:
  • Phone: 787-514-2159
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: