Provider Demographics
NPI:1427392489
Name:NADAL, DAMARIS E
Entity Type:Individual
Prefix:
First Name:DAMARIS
Middle Name:E
Last Name:NADAL
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 1:2053 AVE PEDRO ALBIZU CAMPOS
Mailing Address - Street 2:ST 2 PMB-221
Mailing Address - City:AGUADILLA
Mailing Address - State:PR
Mailing Address - Zip Code:00603-5950
Mailing Address - Country:US
Mailing Address - Phone:787-431-2047
Mailing Address - Fax:
Practice Address - Street 1:168 AVE PEDRO ALBIZU CAMPOS
Practice Address - Street 2:REPTO LOPEZ
Practice Address - City:AGUADILLA
Practice Address - State:PR
Practice Address - Zip Code:00603-5725
Practice Address - Country:US
Practice Address - Phone:787-997-2050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-15
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program