Provider Demographics
NPI:1104178706
Name:ORTIZ COTTO, MARINES (MWS)
Entity Type:Individual
Prefix:
First Name:MARINES
Middle Name:
Last Name:ORTIZ COTTO
Suffix:
Gender:F
Credentials:MWS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 7 BOX 33683
Mailing Address - Street 2:
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00727-9350
Mailing Address - Country:US
Mailing Address - Phone:787-228-8621
Mailing Address - Fax:
Practice Address - Street 1:HC 7 BOX 33683
Practice Address - Street 2:
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00727-9350
Practice Address - Country:US
Practice Address - Phone:787-228-8621
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-05
Last Update Date:2012-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR94211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical