Provider Demographics
NPI:1851528608
Name:CYMERYS OTERO, ANNA I
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:I
Last Name:CYMERYS OTERO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14221 SW 120TH ST STE 210
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-4224
Mailing Address - Country:US
Mailing Address - Phone:786-391-2935
Mailing Address - Fax:305-665-0332
Practice Address - Street 1:14221 SW 120TH ST STE 210
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-4224
Practice Address - Country:US
Practice Address - Phone:786-391-2935
Practice Address - Fax:305-665-0332
Is Sole Proprietor?:No
Enumeration Date:2009-06-19
Last Update Date:2020-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist