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Deactivated NPI 1598061947 Deactivated / Inactive NPI Female Practitioner

Ida Otero

Technician/Technologist • Bayamon, PR

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Ida Otero has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 02, 2011
NPI Deactivation Date May 17, 2023
Total Practice Duration ~12 Years of Practice (2011 – 2023)

Professional Overview & Biography Verified Profile Summary

Ida Otero was a registered Technician/Technologist practicing in Bayamon, PR. Throughout an active medical career spanning 12 years, Ida Otero provided care at the practice location at COND SIERRA BAYAMON until profile deactivation on 2023-05-17.

Practice Location & Contact Primary Location

Practice Address

Cond Sierra Bayamon
7-13 North Main Ste. 1

Bayamon, PR 009614201

Telephone 7877853374
Fax 7877853374
Associated Practice Facility / Clinic
🏢 New Optical Facility NPI 1366748337

Specialty Benchmarks & Practice Insights

Comparative analytics for Technician/Technologist in Bayamon, PR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Bayamon, PR (28 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Technician/Technologist Primary Specialty

NUCC Taxonomy Code: 156F00000X

A broad category grouping different kinds of technologists and technicians. See individual definitions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Tamara Santos

Optometrist

NPI 1639383235

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 17, 2023

Record deactivated on May 17, 2023

NPI Profile Active February 02, 2011

NPI status registered as active in NPPES database

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Updated Practice Location February 02, 2011

Registered at COND SIERRA BAYAMON, 7-13 NORTH MAIN STE. 1, BAYAMON, PR 009614201 (Tel: 7877853374)

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Updated Business Mailing Address February 02, 2011

Registered at 243 CALLE RIO CIBUCO, URB. MONTE CASINO HEIGHTS, TOA ALTA, PR 009533761 (Tel: 7877853374)

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Provider Name / Credentials Updated February 02, 2011

Recorded as IDA OTERO

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 02, 2011

Technician/Technologist

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Initial NPI Registration & Enumeration February 02, 2011

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1598061947
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 02, 2011
Last Update: February 02, 2011
Deactivation Date: May 17, 2023

Mailing Address

243 Calle Rio Cibuco, Urb. Monte Casino Heights

Toa Alta, PR 009533761

Phone: 7877853374

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.