Provider Demographics
NPI:1679867337
Name:NEGRON COTTO, EDUARDO (PHARM D)
Entity Type:Individual
Prefix:
First Name:EDUARDO
Middle Name:
Last Name:NEGRON COTTO
Suffix:
Gender:M
Credentials:PHARM D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 CALLE MARGINAL
Mailing Address - Street 2:
Mailing Address - City:GUAYAMA
Mailing Address - State:PR
Mailing Address - Zip Code:00784-6051
Mailing Address - Country:US
Mailing Address - Phone:787-864-5800
Mailing Address - Fax:787-864-6291
Practice Address - Street 1:710 CALLE MARGINAL
Practice Address - Street 2:
Practice Address - City:GUAYAMA
Practice Address - State:PR
Practice Address - Zip Code:00784-6051
Practice Address - Country:US
Practice Address - Phone:787-864-5800
Practice Address - Fax:787-864-6291
Is Sole Proprietor?:No
Enumeration Date:2011-05-30
Last Update Date:2011-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5459183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist