Healthcare Provider Details

I. General information

NPI: 1083569735
Provider Name (Legal Business Name): NATALIA AMELY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/27/2026
Last Update Date: 02/27/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

SALA PONCE, 388 CALLE LUIS F, PONCE, 00716
PONCE PR
00716
US

IV. Provider business mailing address

RD2 PLAZA 3
TRUJILLO ALTO PR
00976-6004
US

V. Phone/Fax

Practice location:
  • Phone: 787-840-2575
  • Fax:
Mailing address:
  • Phone: 787-392-0404
  • 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: