Provider Demographics
NPI:1710684006
Name:COTTO RODRIGUEZ, KAREN (RPH)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:
Last Name:COTTO RODRIGUEZ
Suffix:
Gender:F
Credentials:RPH
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 162
Mailing Address - Street 2:
Mailing Address - City:RIO GRANDE
Mailing Address - State:PR
Mailing Address - Zip Code:00745-0162
Mailing Address - Country:US
Mailing Address - Phone:787-957-0092
Mailing Address - Fax:787-957-0093
Practice Address - Street 1:101 MANUEL CORCHADO JUARBE ST
Practice Address - Street 2:
Practice Address - City:CANOVANAS
Practice Address - State:PR
Practice Address - Zip Code:00729
Practice Address - Country:US
Practice Address - Phone:787-957-0092
Practice Address - Fax:787-957-0093
Is Sole Proprietor?:No
Enumeration Date:2023-02-08
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR003970183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist