Individual
ANISIA OTERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12376 QUAIL ROOST DR, MIAMI, FL 33177-4974
(786) 237-3070
(786) 430-8198
Mailing address
6100 BLUE LAGOON DR STE 365, MIAMI, FL 33126-7010
(786) 322-7333
(786) 347-5022
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME121948
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111302500
—
FL
Enumeration date
03/11/2014
Last updated
08/12/2021
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