1912209594 NPI number — MRS. NORALIZ COTTES MSW

Table of content: MRS. NORALIZ COTTES MSW (NPI 1912209594)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1912209594 NPI number — MRS. NORALIZ COTTES MSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
COTTES
Provider First Name:
NORALIZ
Provider Middle Name:
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1912209594
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/11/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
8003 VIA DEL PALMAR
Provider Second Line Business Mailing Address:
URB. CAMINO DEL MAR
Provider Business Mailing Address City Name:
TOA BAJA
Provider Business Mailing Address State Name:
PR
Provider Business Mailing Address Postal Code:
00949-4374
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
787-613-8768
Provider Business Mailing Address Fax Number:
787-795-0691

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
AVE. LAUREL CENTRO DE SALUD MENTAL DE BAYAMON
Provider Second Line Business Practice Location Address:
URB. STA JUANITA
Provider Business Practice Location Address City Name:
BAYAMON
Provider Business Practice Location Address State Name:
PR
Provider Business Practice Location Address Postal Code:
00956
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
787-613-8768
Provider Business Practice Location Address Fax Number:
787-795-0691
Provider Enumeration Date:
12/02/2010

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  6506 , registered in the state of PR ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)