KRISTEN NICOLE OTERO (NPI# 1063923522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063923522 |
| Entity Type | Individual |
| Full Name | KRISTEN NICOLE OTERO |
| Practice Address |
1414 Nw 107 Ave Suite 109 Doral FL 33172 |
| Mailing Address |
1414 Nw 107th Ave Suite 109 Doral FL 33172 |
| Practice Telephone | 7867622952 |
| Mailing Telephone | 7867622952 |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2017-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
1414 NW 107 AVE SUITE 109 |
| City | DORAL |
| State | FL |
| Zip Code | 33172 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801366463 | Magela De Las Mercedes Rodriguez | Behavior Technician | 11252 Nw 6 Street, Miami, FL 33172 | 2018-11-27 |
| 1477030666 | Natacha Garcia | Behavior Technician | 181 Nw 97 Ave Apto 416, Miami, FL 33172 | 2018-07-20 |
| 1720578701 | Marisela Hernandez | Behavioral Analyst | 10825 Nw 7th St Apt 12, Miami, FL 33172 | 2018-05-15 |
| 1083113054 | Fuerza Vital Medical Institute, Corp | Speech-Language Pathologist | 8725 Nw 18 Terr Suite 209, Doral, FL 33172 | 2018-02-06 |
| 1003327339 | All Orthopedic Supplies Corp | Prosthetic/Orthotic Supplier | 175 Fontainbleau Blvd, Ste P1, Miami, FL 33172 | 2017-10-13 |
| 1861901944 | Lyanne M Melendez | Speech-Language Pathologist | 1750 Nw 107 Ave, Unit P-901, Miami, FL 33172 | 2017-09-21 |
| 1295259166 | Family Tender Care Services Inc | Behavioral Analyst | 9360 Fontainebleau Blvd, Unit 514, Miami, FL 33172 | 2017-08-01 |
| 1992229074 | Maria F Palabez | Behavior Technician | 9369 Fontainebleau Blvd J225, Miami, FL 33172 | 2017-07-31 |
| 1700306602 | Jenny Lemus | Behavior Technician | 10200 Nw 25th St Suite 205, Doral, FL 33172 | 2017-06-21 |
| 1548780760 | Yadary Seoane | Behavior Technician | 11204 Nw 1st Ter, Miami, FL 33172 | 2017-06-20 |
| Find all providers in zip 33172 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366067837 | Orlando Granado Diaz | Counselor | 8200 Nw 41st St Ste 315, Doral, FL 33166-6206 | 2020-06-10 |
| 1467075002 | B Well Community Center Corp | Counselor | 10500 Nw 26th St Ste A102c, Doral, FL 33172-2158 | 2020-05-18 |
| 1831732817 | Ilan Garcia | Counselor | 8200 Nw 41st St Ste 135, Doral, FL 33166-6204 | 2019-10-23 |
| 1922665876 | Erika Angulo | Counselor | 8245 Nw 36th St Ste 7, Doral, FL 33166-6636 | 2019-05-28 |
| 1215411541 | Hope Behavioral Health and Counseling Services, LLC | Counselor | 7225 Nw 25th St Ste 200, Doral, FL 33122-1709 | 2018-09-22 |
| 1417456153 | Ana Cristina Gouvea | Counselor | 10570 Nw 27th St Ste 102, Doral, FL 33172-2105 | 2018-02-08 |
| 1033644000 | Susan M. Rodriguez | Counselor | 8100 Nw 53rd St Apt 163, Doral, FL 33166-4796 | 2017-04-26 |
| 1902345838 | Maria Sanmiguel | Counselor | 5908 Nw 110th Ct, Doral, FL 33178-2812 | 2017-02-12 |
| 1316399892 | Maria Gomez | Counselor | 8245 Nw 36th St Ste 3, Doral, FL 33166-6636 | 2016-07-07 |
| 1326414459 | Thinn Aung | Counselor | 11229 Nw 42nd Ter, Doral, FL 33178-1805 | 2015-08-12 |
| Find all providers in DORAL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.