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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 2 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.

Request for update

Identifiers

StateTypeNumberIssuer
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 #

Popular Providers