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NPI Code Detail

MEDICARE: JUAN MANUEL COTTE CABARCAS MD

MEDICARE: JUAN MANUEL COTTE CABARCAS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician275741MA
2207L00000XAnesthesiology PhysicianMD18467RI

General Provider Information

NPI Number : 1528545373
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUAN MANUEL COTTE CABARCAS MD
Provider Business Mailing Address
First Line : 117 ELLENFIELD ST STE 101
Second Line :
City : PROVIDENCE
State : RI
Zip : 02905-4541
Country : US
Telephone Number : 401-444-6779
Fax Number : 401-444-6912
Provider Business Practice Location Address
First Line : 115 LINCOLN ST
Second Line :
City : FRAMINGHAM
State : MA
Zip : 01702-6342
Country : US
Telephone Number : 508-383-1555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2018
Last Update Date : 02/23/2023

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