Provider Demographics
NPI:1245583905
Name:NATER, JOSE FERNANDO (SOCIAL WORKER)
Entity Type:Individual
Prefix:
First Name:JOSE
Middle Name:FERNANDO
Last Name:NATER
Suffix:
Gender:M
Credentials:SOCIAL WORKER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIVERSITY GARDENS
Mailing Address - Street 2:CORNELL 220
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00927
Mailing Address - Country:US
Mailing Address - Phone:939-257-1045
Mailing Address - Fax:
Practice Address - Street 1:220 CALLE CORNELL
Practice Address - Street 2:UNIVERSITY GARDENS
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00927-4123
Practice Address - Country:US
Practice Address - Phone:939-257-1045
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-18
Last Update Date:2012-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4315104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker