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LUIS E OTERO MD PA
NPI 1790926616
Family Medicine in Palm Springs, FL

Active since March 23, 2009CLIA 10D2017193 · Waiver
3142 S CONGRESS AVE, PALM SPRINGS, FL 33461(561) 967-3186(561) 967-3187 Get Directions Write a Review

NPPES record last updated: August 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 24, 2021, Feb 4, 2021, Jul 22, 2020 (3 updates tracked since 2020).

About Luis E Otero Md Pa NPPES

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

LUIS E OTERO MD PA (NPI 1790926616) is a healthcare organization registered as a family medicine in Palm Springs, Florida and active in the NPI registry since March 2009. The organization holds a CLIA Waiver certificate valid through December 6, 2026, maintains a secondary practice location in Miami, and lists Luis E Otero, Medical Doctor, as its authorized official.

NPPES Registry Identity

NPI1790926616
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLUIS E OTERO MD PA
Location Address3142 S CONGRESS AVEPalm Springs, FL 33461-2552
Mailing Address9874 Shepard PlWellington, FL 33414-6418 · (561) 967-3186 · Fax (561) 967-3187
Phone(561) 967-3186
Fax(561) 967-3187
Organization SubpartNo
Authorized OfficialLuis E OteroMedical Doctor · (561) 967-3186
Enumeration DateMarch 23, 2009
Last NPPES UpdateAugust 24, 20213 updates tracked since enumeration
NPPES CertifiedAugust 24, 2021
✔ NPI 1790926616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME93871
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3142 S CONGRESS AVE, Palm Springs, FL 33461
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Secondary Practice Location 1

Location 16850 Coral Way Ste 507Miami, FL 33155-1758 · Phone (305) 667-1080

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2017193

Luis E Otero MD PA · Palm Springs, FL
Active · expires Dec 6, 2026
CLIA Number10D2017193
Laboratory TypePhysician Office
Certificate Effective DateDecember 7, 2024
Certificate Expiration DateDecember 6, 2026
Laboratory DirectorLuis E. Otero
Laboratory Phone(561) 967-3186
Laboratory LocationLuis E Otero MD PA3142 S Congress Ave, Palm Springs, FL 33461
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

ARIANIA DUPEYRON HERNANDEZ PA
Physician Assistant (Medical)
3142 S CONGRESS AVE
PALM SPRINGS, FL 33461
Palm Beach County (561) 967-3186
LUIS E OTERO M.D.
Family Medicine
3142 S CONGRESS AVE
PALM SPRINGS, FL 33461
Palm Beach County (561) 967-3186

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 Luis E Otero MD PA's NPI number?

The NPI number for Luis E Otero MD PA is 1790926616. It was assigned to this organization in the NPPES registry on March 23, 2009.

Where is Luis E Otero MD PA located?

Luis E Otero MD PA is located at 3142 S Congress Ave, Palm Springs, FL 33461. The listed phone number is (561) 967-3186.

What is Luis E Otero MD PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Luis E Otero MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2017193) is associated with this NPI, valid through December 6, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Luis E Otero MD PA was last updated on August 24, 2021. 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.