Otero, Raul Rogelio

Otero, Raul Rogelio is an individual health care provider with primary practice located at 2700 University Square Drive Radiology Associates Of Tampa, Tampa FL 33612-5513. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Otero, Raul Rogelio can be contacted via phone (813) 251-5822.

Contact Information

Primary practice address
2700 University Square Drive Radiology Associates Of Tampa Tampa FL 33612-5513
Phone: (813) 251-5822
Fax: (813) 254-4597
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X ME30778 Florida
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME30778 Florida

Profile Details

NPI number 1629037023
LBN Legal business name Otero, Raul Rogelio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Feb 11th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629037023 NPPES
Florida MEDICAID 066611400

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