MEDICARE: ANISIA OTERO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	ME121948	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811313190
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANISIA OTERO MD

Provider Business Mailing Address
First Line	:	6100 BLUE LAGOON DR STE 365
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-7010
Country	:	US
Telephone Number	:	786-322-7333
Fax Number	:	786-347-5022

Provider Business Practice Location Address
First Line	:	12376 QUAIL ROOST DR
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33177-4974
Country	:	US
Telephone Number	:	786-237-3070
Fax Number	:	786-430-8198

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/11/2014
Last Update Date	:	08/12/2021

Similar Medicare Providers

1588558423 — ACCESS MEDICAL GROUP OF MIAMI MEDICARE, LLC
Practice Location Address:

701 NW 27TH AVE
MIAMI, FL
33125-3012

Practice Phone: 786-744-1900
Practice Fax: 305-760-4141

1598830374 — DR. MARIE JOCELYNE NICOLAS ALEXANDRE MD
Practice Location Address:

12376 QUAIL ROOST DR
MIAMI, FL
33177-4974

Practice Phone: 786-623-0994
Practice Fax: 786-430-8197

1467684167 — UNIVERSAL MEDICAL CENTER
Practice Location Address:

12376 QUAIL ROOST DR
MIAMI, FL
33177-4974

Practice Phone: 786-237-3070
Practice Fax: 786-237-3071

1477854099 — ARIADNA VAZQUEZ-GLARIA SLP CCC
Practice Location Address:

12358 QUAIL ROOST DR
MIAMI, FL
33177-4974

Practice Phone: 786-422-0357
Practice Fax: 786-706-6374

1578845129 — ACCESS MEDICAL GROUP OF PERRINE, LLC.
Practice Location Address:

12376 QUAIL ROOST DR
MIAMI, FL
33177-4974

Practice Phone: 786-237-3070
Practice Fax: 786-430-8198

1205235686 — PHARMCARE PHARMACY INC
Practice Location Address:

12382 QUAIL ROOST DR
MIAMI, FL
33177-4974

Practice Phone: 786-842-3840
Practice Fax:

Directions to “ ANISIA OTERO MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.