Healthcare Provider Details

I. General information

NPI: 1780380972
Provider Name (Legal Business Name): NATANAEL F PEREZ CORDERO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/31/2023
Last Update Date: 12/24/2025
Certification Date: 12/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37 CALLE REGINA MEDINA ATRIUM PARK APT C307
GUAYNABO PR
00969
US

IV. Provider business mailing address

37 CALLE REGINA MEDINA ATRIUM PARK APT C307
GUAYNABO PR
00969-6001
US

V. Phone/Fax

Practice location:
  • Phone: 939-264-4480
  • Fax:
Mailing address:
  • Phone: 939-264-4480
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: