MEDICARE: MRS. NATALIE ANN CARO DE LEON

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	8663	PR

General Provider Information

NPI Number	:	1659206340
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. NATALIE ANN CARO DE LEON

Provider Business Mailing Address
First Line	:	505 CALLE ALMENDRO
Second Line	:
City	:	CABO ROJO
State	:	PR
Zip	:	00623-2100
Country	:	US
Telephone Number	:	787-383-0003
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 MENDEZ VIGO E
Second Line	:
City	:	MAYAGUEZ
State	:	PR
Zip	:	00680-4652
Country	:	US
Telephone Number	:	787-383-0003
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/15/2026
Last Update Date	:	06/15/2026

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