Provider Demographics
NPI:1417606500
Name:FRONTERA, NATASHA LIZETTE
Entity Type:Individual
Prefix:
First Name:NATASHA
Middle Name:LIZETTE
Last Name:FRONTERA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. SANTA MARIA
Mailing Address - Street 2:2 CALLE AZUCENA
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00927-6731
Mailing Address - Country:US
Mailing Address - Phone:787-248-0244
Mailing Address - Fax:
Practice Address - Street 1:URB. SANTA MARIA
Practice Address - Street 2:2 CALLE AZUCENA
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00927-6731
Practice Address - Country:US
Practice Address - Phone:787-248-0244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-23
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program