Provider Demographics
NPI:1518742493
Name:COTTO, LAIDA FRANCHESKA
Entity Type:Individual
Prefix:
First Name:LAIDA
Middle Name:FRANCHESKA
Last Name:COTTO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 370734
Mailing Address - Street 2:
Mailing Address - City:CAYEY
Mailing Address - State:PR
Mailing Address - Zip Code:00737-0734
Mailing Address - Country:US
Mailing Address - Phone:787-205-3308
Mailing Address - Fax:
Practice Address - Street 1:JARDINES DE CAYEY 2 K2 CALLE MARGINAL SUR
Practice Address - Street 2:(SEGUNDO NIVEL)
Practice Address - City:CAYEY
Practice Address - State:PR
Practice Address - Zip Code:00736
Practice Address - Country:US
Practice Address - Phone:787-205-3308
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-29
Last Update Date:2023-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2027133NN1002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education