MEDICARE: JUAN J COTTO M.D.

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
1	208D00000X	General Practice Physician	7245	PR

General Provider Information

NPI Number	:	1922112838
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUAN J COTTO M.D.

Provider Business Mailing Address
First Line	:	39 PARQUE MEDICI
Second Line	:	PASEO DEL PARQUE
City	:	SAN JUAN
State	:	PR
Zip	:	00926-6514
Country	:	US
Telephone Number	:	787-760-8830
Fax Number	:

Provider Business Practice Location Address
First Line	:	39 PARQUE MEDICI
Second Line	:	PASEO DEL PARQUE
City	:	SAN JUAN
State	:	PR
Zip	:	00926-6514
Country	:	US
Telephone Number	:	787-760-8830
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2006
Last Update Date	:	07/08/2007

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