Otero, Wilson Nicolas
Otero, Wilson Nicolas is an sole proprietor health care provider with primary practice located at 9149 Estate Thomas Paragon Medical Building Suite 208, St. Thomas VI 00802-2615. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Otero, Wilson Nicolas can be contacted via phone (340) 714-1122.Contact Information
Primary practice address
9149 Estate Thomas Paragon Medical Building Suite 208
St. Thomas VI 00802-2615
Phone: (340) 714-1122
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 44063 | Arizona |
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 3572 | Virgin Islands |
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 44063 | Arizona |
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | MD00030353 | Washington |
Profile Details
NPI number | 1992925051 |
---|---|
LBN Legal business name | Otero, Wilson Nicolas |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 30th, 2007 |
Last updated | Mar 28th, 2023 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1992925051 | NPPES |
Florida | Other | 1025558 | CAREPLUS PROVIDER ID # |
Florida | Other | 4073765 | CAREPLUS PROVIDER ID # |
Florida | Other | 020549565 | CAREPLUS PROVIDER ID # |
Florida | Other | 28885 | CAREPLUS PROVIDER ID # |
Florida | Other | 28885 | CAREPLUS PROVIDER ID # |
Florida | Other | 96681 | CAREPLUS PROVIDER ID # |
Florida | MEDICAID | 040931600 | CAREPLUS PROVIDER ID # |
Florida | Other | 28885 | CAREPLUS PROVIDER ID # |
Florida | MEDICAID | 582847 | CAREPLUS PROVIDER ID # |
Florida | Other | 33648 | CAREPLUS PROVIDER ID # |
Florida | Other | 020549565 | CAREPLUS PROVIDER ID # |
Florida | Other | 020549565 | CAREPLUS PROVIDER ID # |
Florida | Other | 237645 | CAREPLUS PROVIDER ID # |
Florida | Other | 104531 | CAREPLUS PROVIDER ID # |
Florida | Other | 59257 | CAREPLUS PROVIDER ID # |
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