Provider Demographics
NPI:1295352268
Name:ALVARADO COTTE, JOSE L
Entity type:Individual
Prefix:
First Name:JOSE
Middle Name:L
Last Name:ALVARADO COTTE
Suffix:
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:HC 2 BOX 14018
Mailing Address - Street 2:
Mailing Address - City:AGUAS BUENAS
Mailing Address - State:PR
Mailing Address - Zip Code:00703-9639
Mailing Address - Country:US
Mailing Address - Phone:787-593-8987
Mailing Address - Fax:
Practice Address - Street 1:URB. SANTA ROSA
Practice Address - Street 2:45-15 AVE. MAIN
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959-6501
Practice Address - Country:US
Practice Address - Phone:787-593-8987
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-25
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR006318103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR39991400Medicaid