Healthcare Provider Details

I. General information

NPI: 1326421413
Provider Name (Legal Business Name): CARMEN ROSA NATAL I BSN RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CARMEN ROSA NATAL BSN RN

II. Dates (important events)

Enumeration Date: 07/07/2015
Last Update Date: 07/07/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

COND LAUREL # 100 BARRIO MONACILLOS URBANIZACION SANTA JUANITA
BAYAMON PR
00956-3273
US

IV. Provider business mailing address

URBANIZACION VILLA LINARES CALLE 9 G28
VEGA ALTA PUERTO RICO
00692
UM

V. Phone/Fax

Practice location:
  • Phone: 787-995-5200
  • Fax:
Mailing address:
  • Phone: 787-224-7888
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WA0400X
TaxonomyAddiction (Substance Use Disorder) Registered Nurse
License Number52983
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: