Provider Demographics
NPI:1558371161
Name:NATER, MANUEL (3478)
Entity Type:Individual
Prefix:DR
First Name:MANUEL
Middle Name:
Last Name:NATER
Suffix:
Gender:M
Credentials:3478
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2987
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00960-2987
Mailing Address - Country:US
Mailing Address - Phone:787-785-6211
Mailing Address - Fax:787-780-0898
Practice Address - Street 1:BAYAMON MEDICAL PLAZA
Practice Address - Street 2:SUITE 706
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959
Practice Address - Country:US
Practice Address - Phone:787-785-6211
Practice Address - Fax:787-780-0898
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-08
Last Update Date:2016-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR3478207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRD08296Medicare UPIN