Active NPI
Wildalis Cotto
- Counseling Psychologist
- Cayey, PR
National Provider Identifier
1245797232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 3743
- Practice address
- 7 Calle Baldorioty Altos
Barrio Pueblo
Cayey, PR 00736-9232 - Phone
- (787) 313-6085
- NPI assigned
- Feb 26, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 3743 | PR | Primary |
Addresses
Primary practice location
7 Calle Baldorioty Altos
Barrio Pueblo
Cayey, PR 00736-9232
Mailing address
HC 43 Box 11938
Cayey, PR 00736-9232
Phone (787) 313-6085
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201030000671 | PR | Practitioner - Psychologist Billing Independently | 9032529110 | Practice locations: Cayey, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3743 | PR | MD | Medical Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551139200000",
"number": "1245797232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HC 43 BOX 11938",
"city": "CAYEY",
"state": "PR",
"postal_code": "007369232",
"telephone_number": "787-313-6085"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7 CALLE BALDORIOTY ALTOS",
"address_2": "BARRIO PUEBLO",
"city": "CAYEY",
"state": "PR",
"postal_code": "007369232",
"telephone_number": "787-313-6085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COTTO",
"first_name": "WILDALIS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-26",
"last_updated": "2019-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": "PR",
"license": "3743",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cayey, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.