Provider Demographics
NPI:1942517891
Name:RODRIGUEZ DESALDEN, NATALIE (MD)
Entity Type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:
Last Name:RODRIGUEZ DESALDEN
Suffix:
Gender:F
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:RR 5 BOX 8195
Mailing Address - Street 2:
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00956-9724
Mailing Address - Country:US
Mailing Address - Phone:787-345-8839
Mailing Address - Fax:
Practice Address - Street 1:RH8 CALLE ACACIA
Practice Address - Street 2:LEVITTOWN
Practice Address - City:TOA BAJA
Practice Address - State:PR
Practice Address - Zip Code:00949-2603
Practice Address - Country:US
Practice Address - Phone:939-338-1526
Practice Address - Fax:939-338-1526
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-13
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR18695207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine