Provider Demographics
NPI:1710142682
Name:COTTO, ADIANES (MD)
Entity Type:Individual
Prefix:
First Name:ADIANES
Middle Name:
Last Name:COTTO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:TOWNHOUSE #5 PARQUE DEL TESORO
Mailing Address - Street 2:BAIROA PARK
Mailing Address - City:CAGUAS
Mailing Address - State:PR
Mailing Address - Zip Code:00725
Mailing Address - Country:US
Mailing Address - Phone:787-286-3312
Mailing Address - Fax:787-286-3312
Practice Address - Street 1:TOWNHOUSE #5 PARQUE DEL TESORO
Practice Address - Street 2:BAIROA PARK
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00725
Practice Address - Country:US
Practice Address - Phone:787-286-3312
Practice Address - Fax:787-286-3312
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-21
Last Update Date:2016-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17242208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice