Basic Information
| Provider Information | |||||||||
| NPI: | 1013339746 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | OTERO-CABIYA | ||||||||
| FirstName: | MABEL | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MRS. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 13228 CANNA LILY DR | ||||||||
| Address2: | |||||||||
| City: | ORLANDO | ||||||||
| State: | FL | ||||||||
| PostalCode: | 328245067 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7874080688 | ||||||||
| FaxNumber: | 4077308837 | ||||||||
| Practice Location | |||||||||
| Address1: | 448 W DONEGAN AVE | ||||||||
| Address2: | |||||||||
| City: | KISSIMMEE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 347412335 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4078523300 | ||||||||
| FaxNumber: | 4074804081 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/15/2014 | ||||||||
| LastUpdateDate: | 01/15/2014 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | SZ6516 | FL | Y | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.