Provider Demographics
NPI:1578709440
Name:NATALI, LUIS CARLOS (MD)
Entity Type:Individual
Prefix:
First Name:LUIS
Middle Name:CARLOS
Last Name:NATALI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1702 CALLE JOSE ABAD BONILLA
Mailing Address - Street 2:
Mailing Address - City:MAYAGUEZ
Mailing Address - State:PR
Mailing Address - Zip Code:00682-7915
Mailing Address - Country:US
Mailing Address - Phone:191-439-3996
Mailing Address - Fax:310-469-4603
Practice Address - Street 1:75 NORTE CALLE RAMON E. BETANCES
Practice Address - Street 2:
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00680
Practice Address - Country:US
Practice Address - Phone:787-831-4215
Practice Address - Fax:787-827-8161
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-26
Last Update Date:2022-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA115959204D00000X, 2084N0400X, 208D00000X
PR0179122084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice