Individual provider Active NPI

Jose Antonio Cotto Jr., O.D

  • Optometrist
  • Bayamon, PR
National Provider Identifier
1801135603
Registry record updated Nov 6, 2020
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Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
699 Issued in PR
Practice address
Carretera 167 Za -28 Calle #36 Urb Riverview
Bayamon, PR 00960
Phone
(787) 780-3969
NPI assigned
Feb 14, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 699 PR Primary

Addresses

Primary practice location

Carretera 167 Za -28 Calle #36 Urb Riverview
Bayamon, PR 00960

Mailing address

PB 20 Parque de Punta Salinas Plaza Almendros
Toa Baja, PUERTO RICO 00949
UM

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
I20240523003945 PR Practitioner - Optometry 0143662999 Practice locations: Bayamon, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1360800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604620800000",
    "number": "1801135603",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "PB 20 PARQUE DE PUNTA SALINAS PLAZA ALMENDROS",
            "city": "TOA BAJA",
            "state": "PUERTO RICO",
            "postal_code": "00949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARRETERA 167 ZA -28 CALLE #36 URB RIVERVIEW",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00960",
            "telephone_number": "787-780-3969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTO",
        "first_name": "JOSE",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-14",
        "last_updated": "2020-11-06",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PR",
            "license": "699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.