Provider Demographics
NPI:1033384623
Name:NATALI, DALILA (MD,)
Entity Type:Individual
Prefix:
First Name:DALILA
Middle Name:
Last Name:NATALI
Suffix:
Gender:F
Credentials:MD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 CALLE DR NELSON PEREA
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00680-4948
Mailing Address - Country:US
Mailing Address - Phone:787-265-3650
Mailing Address - Fax:
Practice Address - Street 1:16 CALLE DR NELSON PEREA
Practice Address - Street 2:
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680-4948
Practice Address - Country:US
Practice Address - Phone:787-265-3650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-24
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR170572084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology