Provider Demographics
NPI:1427024207
Name:OTERO ECHANDI, ISABEL (M D)
Entity type:Individual
Prefix:DR
First Name:ISABEL
Middle Name:
Last Name:OTERO ECHANDI
Suffix:
Gender:F
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 N UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33322-4724
Mailing Address - Country:US
Mailing Address - Phone:954-474-2229
Mailing Address - Fax:954-452-0356
Practice Address - Street 1:1200 N UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33322-4724
Practice Address - Country:US
Practice Address - Phone:954-474-2229
Practice Address - Fax:954-452-0356
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2014-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0062351207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL18867UMedicare PIN
FLA64786Medicare UPIN