Individual provider Active NPI

Zaida T Rodriguez Cotto, DMD

  • Dentist
  • Gurabo, PR
National Provider Identifier
1669597050
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
1959 Issued in PR
Practice address
Calle Eugenio Sanchez Lopez #53E
Gurabo, PR 00778
Phone
(787) 737-7065
Fax
(787) 737-7065
NPI assigned
Mar 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 1959 PR Primary

Addresses

Primary practice location

Calle Eugenio Sanchez Lopez #53E
Gurabo, PR 00778

Mailing address

PO Box 1373
Gurabo, PR 00778-1373
Phone (787) 737-7065

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150710001186 PR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1153633755

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1959PRMDDentist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669597050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1373",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "007781373",
            "telephone_number": "787-737-7065",
            "fax_number": "787-737-7065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE EUGENIO SANCHEZ LOPEZ #53E",
            "city": "GURABO",
            "state": "PR",
            "postal_code": "00778",
            "telephone_number": "787-737-7065",
            "fax_number": "787-737-7065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ COTTO",
        "first_name": "ZAIDA",
        "middle_name": "T",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "1959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurabo, PR

Sources for this page

Verify at the official NPI Registry.