Healthcare Provider Details

I. General information

NPI: 1942995030
Provider Name (Legal Business Name): ALEJANDRA ISABEL COTTO MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2023
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11645 BISCAYNE BLVD STE 103-104
MIAMI FL
33181-3155
US

IV. Provider business mailing address

11645 BISCAYNE BLVD STE 207
MIAMI FL
33181-3138
US

V. Phone/Fax

Practice location:
  • Phone: 305-538-8835
  • Fax: 305-994-0054
Mailing address:
  • Phone: 305-538-8835
  • Fax: 305-994-0054

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME181174
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: