Provider Demographics
NPI:1881949436
Name:OTERO, DULCE (CNA)
Entity type:Individual
Prefix:
First Name:DULCE
Middle Name:
Last Name:OTERO
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4552 LONGFORD DR
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34232-4060
Mailing Address - Country:US
Mailing Address - Phone:941-806-9794
Mailing Address - Fax:
Practice Address - Street 1:4552 LONGFORD DR
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34232-4060
Practice Address - Country:US
Practice Address - Phone:941-806-9794
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-19
Last Update Date:2012-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCNA 64532376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide