Provider Demographics
NPI:1326421413
Name:NATAL, CARMEN ROSA I (BSN RN)
Entity Type:Individual
Prefix:MS
First Name:CARMEN
Middle Name:ROSA
Last Name:NATAL
Suffix:I
Gender:F
Credentials:BSN RN
Other - Prefix:MS
Other - First Name:CARMEN
Other - Middle Name:ROSA
Other - Last Name:NATAL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BSN RN
Mailing Address - Street 1:URBANIZACION VILLA LINARES
Mailing Address - Street 2:CALLE 9 G28
Mailing Address - City:VEGA ALTA
Mailing Address - State:PUERTO RICO
Mailing Address - Zip Code:00692
Mailing Address - Country:UM
Mailing Address - Phone:787-224-7888
Mailing Address - Fax:
Practice Address - Street 1:COND LAUREL # 100
Practice Address - Street 2:BARRIO MONACILLOS URBANIZACION SANTA JUANITA
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00956-3273
Practice Address - Country:US
Practice Address - Phone:787-995-5200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-07
Last Update Date:2015-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR52983163WA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)