{"npi":"1801011663","type":"NPI-1","status":"active","name":{"display":"Mr. Alfred Otero PA-C, Mpas","other":[],"first":"ALFRED","last":"OTERO","credential":"PA-C, MPAS"},"specialty":{"primary_taxonomy":"363A00000X","primary_taxonomy_description":"Physician Assistant","slug":"physician-assistant","schema_org_specialty":null,"all":[{"code":"363A00000X","description":"Physician Assistant","primary":true,"state":"FL","license":"PA 0003636"}]},"addresses":[{"purpose":"LOCATION","street_1":"1465 W US HIGHWAY 90 STE 100","city":"LAKE CITY","state":"FL","postal_code":"320556154","country_code":"US","phone":"3867552268","fax":"3862438448"},{"purpose":"MAILING","street_1":"504 SW PACES GLN","city":"LAKE CITY","state":"FL","postal_code":"32024","country_code":"US","phone":"3526720184"}],"license":{"state":"FL","number":"PA 0003636"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"291002100","state":"FL","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20070816000107","type_code":"14-97","type_desc":"PRACTITIONER - PHYSICIAN ASSISTANT","state":"FL","pac_id":"4082706379"}]},"enumeration_date":"2007-04-16","last_updated":"2020-06-12","_meta":{"source":"NPPES","snapshot_date":"2020-06-12","doc_url":"https://findmynpi.com/api"}}