Provider Demographics
NPI:1598450512
Name:ROSADO COTTO, RUTH ELENIA II (BSN)
Entity type:Individual
Prefix:MISS
First Name:RUTH
Middle Name:ELENIA
Last Name:ROSADO COTTO
Suffix:II
Gender:F
Credentials:BSN
Other - Prefix:MISS
Other - First Name:RUTH
Other - Middle Name:ELENIA
Other - Last Name:ROSADO COTTO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSN
Mailing Address - Street 1:80 CALLE TANQUES SAN JUAN
Mailing Address - Street 2:BO VENEZUELA
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926
Mailing Address - Country:US
Mailing Address - Phone:939-216-2196
Mailing Address - Fax:
Practice Address - Street 1:PABELLON B CALLE MAGA CENTRO MEDICO BO MONACILLOS
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00935-0001
Practice Address - Country:US
Practice Address - Phone:939-216-2196
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-06
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR83460163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse