Provider Demographics
NPI:1720975394
Name:COTTO, LEOCADIO III
Entity type:Individual
Prefix:
First Name:LEOCADIO
Middle Name:
Last Name:COTTO
Suffix:III
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 1:10822 GEIST RD
Mailing Address - Street 2:
Mailing Address - City:FISHERS
Mailing Address - State:IN
Mailing Address - Zip Code:46037-3665
Mailing Address - Country:US
Mailing Address - Phone:781-201-1091
Mailing Address - Fax:
Practice Address - Street 1:10822 GEIST RD
Practice Address - Street 2:
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46037-3665
Practice Address - Country:US
Practice Address - Phone:781-201-1091
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program