Dr. Diego D Botero
Pediatrician Pediatric Endocrinologist
300 Longwood Ave
Boston
, Massachusetts 02115-5724
Dr. Diego D Botero
Pediatrician Pediatric Endocrinologist
300 Longwood Ave
Boston
, Massachusetts 02115-5724
(617) 267-0722
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About
Features
Specialties
- Pediatrician
- Pediatric Endocrinologist
Languages spoken
- English
Location
First Address
- Dr. Diego D Botero
- 466 Shawmut Ave Unit #1
- Boston, MA
- Zip : 02118-3836
- Phone : (617) 267-0722
Second Address
- Dr. Diego D Botero
- 300 Longwood Ave
- Boston, MA
- Zip : 02115-5724
- Fax : (617) 730-0134
- Phone : (617) 355-2180
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | 213823 | MA |
| Y | 2080P0205X | Pediatric Endocrinologist | 213823 | MA |
National Provider Identifier
| NPI | 1407931249 |
|---|---|
| Provider Name | Dr. Diego D Botero |
| First Address | Boston, MA 02118-3836 |
| Second Address | Boston, MA 02115-5724 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/10/2006 |
| Last Update Date | 06/02/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0177580 | (05) | MA |
| I33165 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.