Provider Demographics
NPI:1467752501
Name:COTTY, WILLIAM
Entity Type:Individual
Prefix:MS
First Name:WILLIAM
Middle Name:
Last Name:COTTY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB.BRISAS DE LAUREL CALLE BRILLANTE
Mailing Address - Street 2:#915
Mailing Address - City:COTO LAUREL
Mailing Address - State:PR
Mailing Address - Zip Code:00780
Mailing Address - Country:US
Mailing Address - Phone:787-384-5023
Mailing Address - Fax:
Practice Address - Street 1:CARRETERA #14
Practice Address - Street 2:HOSPITAL SIQUIATRIA FORENCE DE PONCE
Practice Address - City:PONCE
Practice Address - State:PR
Practice Address - Zip Code:00723
Practice Address - Country:US
Practice Address - Phone:787-844-0101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-22
Last Update Date:2010-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR14928163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse