Provider Demographics
NPI:1730968793
Name:COTO RODRIGUEZ, LIA AURORA
Entity type:Individual
Prefix:
First Name:LIA
Middle Name:AURORA
Last Name:COTO RODRIGUEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22642 SW 89TH PL
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33190-1335
Mailing Address - Country:US
Mailing Address - Phone:305-902-0016
Mailing Address - Fax:
Practice Address - Street 1:22642 SW 89TH PL
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33190-1335
Practice Address - Country:US
Practice Address - Phone:305-902-0016
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-27
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program