Provider Demographics
NPI:1932168994
Name:COTTO, ERICBERTO (OD)
Entity Type:Individual
Prefix:DR
First Name:ERICBERTO
Middle Name:
Last Name:COTTO
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RIBERAS DEL RIO CALLE 9 A 14
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959
Mailing Address - Country:US
Mailing Address - Phone:787-731-4150
Mailing Address - Fax:787-731-4150
Practice Address - Street 1:EL MOLINO SHOPPING CENTER CARR PR54 KM 0.6, BO. PUEBLO
Practice Address - Street 2:
Practice Address - City:GUAYAMA
Practice Address - State:PR
Practice Address - Zip Code:00784
Practice Address - Country:US
Practice Address - Phone:787-786-5048
Practice Address - Fax:787-786-5048
Is Sole Proprietor?:No
Enumeration Date:2006-03-20
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR0471152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist