MEDICARE: DR. CHRISTOPHER BORRERO NATAL M.D.

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	207R00000X	Internal Medicine Physician	21404	PR
2	390200000X	Student in an Organized Health Care Education/Training Program	21404	PR
3	207RN0300X	Nephrology Physician	21404	PR

General Provider Information

NPI Number	:	1821448341
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTOPHER BORRERO NATAL M.D.

Provider Business Mailing Address
First Line	:	47 CALLE MERCURIO
Second Line	:
City	:	PONCE
State	:	PR
Zip	:	00730-2826
Country	:	US
Telephone Number	:	787-590-8917
Fax Number	:

Provider Business Practice Location Address
First Line	:	47 CALLE MERCURIO
Second Line	:
City	:	PONCE
State	:	PR
Zip	:	00730-2826
Country	:	US
Telephone Number	:	787-590-8917
Fax Number	:

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

Provider Enumeration Date	:	06/15/2016
Last Update Date	:	07/20/2021

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