Provider Demographics
NPI:1932194156
Name:RIVERA-COTTES, NESTOR S (MD)
Entity Type:Individual
Prefix:MR
First Name:NESTOR
Middle Name:S
Last Name:RIVERA-COTTES
Suffix:
Gender:M
Credentials:MD
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 1949
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-1949
Mailing Address - Country:US
Mailing Address - Phone:787-780-6667
Mailing Address - Fax:787-740-2440
Practice Address - Street 1:TUNNE SAN PABLO 405
Practice Address - Street 2:
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00960
Practice Address - Country:US
Practice Address - Phone:787-780-6667
Practice Address - Fax:787-740-2440
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2620207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
064653OtherCRUZ AZUL
9600135OtherHUMANA
21607Medicare ID - Type UnspecifiedY SSS
9600135OtherHUMANA