PAUL OTERO
NPI 1689318941
Student in an Organized Health Care Education/Training Program in Orlando, FL

Active since April 22, 2022
12805 PEGASUS DR, ORLANDO, FL 32816(321) 271-4808 Get Directions Write a Review

NPPES record last updated: April 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Paul Otero NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAUL OTERO (NPI 1689318941) is an individual student in an organized health care education/training program in Orlando, Florida and active in the NPI registry since April 2022. He maintains a secondary practice location in Palm Bay.

NPPES Registry Identity

NPI1689318941
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NamePAUL OTERO
Location Address12805 PEGASUS DROrlando, FL 32816-8030
Mailing Address1711 Brookside St NePalm Bay, FL 32907-2440
Sole ProprietorNo
Enumeration DateApril 22, 2022
NPPES CertifiedApril 22, 2022
NPI 1689318941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
12805 PEGASUS DR, Orlando, FL 32816

Secondary Practice Location 1

Location 11711 Brookside St NEPalm Bay, FL 32907-2440 · Phone (321) 271-4808

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
12805 PEGASUS DR
ORLANDO, FL 32816
Student in an Organized Health Care Education/Training Program
12805 PEGASUS DR
ORLANDO, FL 32816
Student in an Organized Health Care Education/Training Program
12805 PEGASUS DR
ORLANDO, FL 32816
Student in an Organized Health Care Education/Training Program
12805 PEGASUS DR
ORLANDO, FL 32816
Student in an Organized Health Care Education/Training Program
12805 PEGASUS DR
ORLANDO, FL 32816
Specialist/Technologist (Athletic Trainer)
12805 PEGASUS DR
ORLANDO, FL 32816
Specialist/Technologist (Athletic Trainer)
12805 PEGASUS DR
ORLANDO, FL 32816
Student in an Organized Health Care Education/Training Program
12805 PEGASUS DR
ORLANDO, FL 32816

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Otero's NPI number?

The NPI number for Paul Otero is 1689318941. It was assigned to this individual provider in the NPPES registry on April 22, 2022.

Where is Paul Otero located?

Paul Otero practices at 12805 Pegasus Dr, Orlando, FL 32816. The listed phone number is (321) 271-4808.

What is Paul Otero's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Paul Otero was last updated on April 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.