Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0208X | Pediatric Infectious Diseases | ME 87657 | FL |
NPI | 1427044700 |
---|---|
Provider Name | Manuel R Cotilla |
First Address | Miami, FL 33155-4000 |
Second Address | Miami, FL 33155-4000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/09/2005 |
Last Update Date | 30/10/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
267377100 | (05) | FL |
H92913 | (02) | FL |