Provider Demographics
NPI:1659582617
Name:NATER, CARLOS E (MD)
Entity Type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:E
Last Name:NATER
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:S3-29 CALLE 4
Mailing Address - Street 2:VILLAS DE PARANA
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00926-6125
Mailing Address - Country:US
Mailing Address - Phone:787-720-6199
Mailing Address - Fax:
Practice Address - Street 1:432 SAN CLAUDIO AVE.
Practice Address - Street 2:
Practice Address - City:SAN JUAN
Practice Address - State:PR
Practice Address - Zip Code:00926
Practice Address - Country:US
Practice Address - Phone:787-761-3082
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR41171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRC 41OtherACUPUNCTURE LICENCE LOCAL
PRAN-8695580OtherDRUG PRESCRIPTION FED
PRNA 2-2353OtherNA
PRAME 15012-4OtherAME
PR00002DM-6OtherDRUG PRESCRIPTION LOCAL
PR2417OtherLOCAL MEDICAL LICENSE
PRC 41OtherACUPUNCTURE LICENCE LOCAL