Provider Demographics
NPI:1730348384
Name:COTTO, MARIBEL (MD)
Entity type:Individual
Prefix:DR
First Name:MARIBEL
Middle Name:
Last Name:COTTO
Suffix:
Gender:F
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:HC 3 BOX 16058
Mailing Address - Street 2:
Mailing Address - City:AGUAS BUENAS
Mailing Address - State:PR
Mailing Address - Zip Code:00703-8371
Mailing Address - Country:US
Mailing Address - Phone:787-403-6165
Mailing Address - Fax:787-732-0562
Practice Address - Street 1:HOSPITAL HIMA CAGUAS PISO G
Practice Address - Street 2:AVENIDA MUNOZ MARIN
Practice Address - City:CAGUAS
Practice Address - State:PR
Practice Address - Zip Code:00726
Practice Address - Country:US
Practice Address - Phone:787-744-8686
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-07
Last Update Date:2013-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR17566207RH0003X
PR26509208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice