Healthcare Provider Details

I. General information

NPI: 1750363834
Provider Name (Legal Business Name): HECTOR L COTTO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/15/2005
Last Update Date: 03/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

368 CALLE DE DIEGO
SAN JUAN PR
00923-2901
US

IV. Provider business mailing address

PO BOX 21094
SAN JUAN PR
00928-1094
US

V. Phone/Fax

Practice location:
  • Phone: 787-763-2370
  • Fax:
Mailing address:
  • Phone: 787-763-2370
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number3627
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: