Physician Compare National (NPI:1407851959)

HEALTHCARE PROVIDER: JOSE E OTERO GARCIA M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1407851959
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5496640674
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040217000608
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	OTERO GARCIA
	Individual professional last name
Provider First Name	JOSE
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	UNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1994
	Individual professional's medical school graduation year
Primary Specialty	OTOLARYNGOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	410 AVE GENERAL VALERO
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 201
	Group Practice or individual's line 2 address
City	FAJARDO
	Group Practice or individual's city
State	PR
	Group Practice or individual's state
Zip Code	007383988
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7876555062
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	400125
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	HIMA-SAN PABLO FAJARDO
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y