Provider Demographics
NPI:1407116957
Name:COTTO, OLGA A (MA)
Entity Type:Individual
Prefix:MISS
First Name:OLGA
Middle Name:A
Last Name:COTTO
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 COND BALCONES DE MONTE REAL
Mailing Address - Street 2:APT. 5703
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00987-2292
Mailing Address - Country:US
Mailing Address - Phone:787-598-9274
Mailing Address - Fax:
Practice Address - Street 1:70 COND BALCONES DE MONTE REAL
Practice Address - Street 2:APT. 5703
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00987-2292
Practice Address - Country:US
Practice Address - Phone:787-598-9274
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-17
Last Update Date:2012-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR003742103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist