Provider Demographics
NPI:1669597050
Name:RODRIGUEZ COTTO, ZAIDA T (DMD)
Entity type:Individual
Prefix:
First Name:ZAIDA
Middle Name:T
Last Name:RODRIGUEZ COTTO
Suffix:
Gender:F
Credentials:DMD
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 1373
Mailing Address - Street 2:
Mailing Address - City:GURABO
Mailing Address - State:PR
Mailing Address - Zip Code:00778-1373
Mailing Address - Country:US
Mailing Address - Phone:787-737-7065
Mailing Address - Fax:787-737-7065
Practice Address - Street 1:CALLE EUGENIO SANCHEZ LOPEZ #53E
Practice Address - Street 2:
Practice Address - City:GURABO
Practice Address - State:PR
Practice Address - Zip Code:00778
Practice Address - Country:US
Practice Address - Phone:787-737-7065
Practice Address - Fax:787-737-7065
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR1959122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist