Provider Demographics
NPI:1104159094
Name:COTTI-DIAZ, DANIEL (RN)
Entity type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:
Last Name:COTTI-DIAZ
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CMR 454, BOX 1116
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09250
Mailing Address - Country:US
Mailing Address - Phone:011-499-8083
Mailing Address - Fax:
Practice Address - Street 1:11 AM HERMANNSWEIHER
Practice Address - Street 2:
Practice Address - City:BURGOBERBACH
Practice Address - State:BAVARIA
Practice Address - Zip Code:91595
Practice Address - Country:DE
Practice Address - Phone:01149-151-5625
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-10
Last Update Date:2009-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX626862163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management