Provider Demographics
NPI:1871640862
Name:DEBS ELIAS, NATALIO (MD)
Entity type:Individual
Prefix:DR
First Name:NATALIO
Middle Name:
Last Name:DEBS ELIAS
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:PO BOX 367191
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00936-7191
Mailing Address - Country:US
Mailing Address - Phone:787-786-4460
Mailing Address - Fax:787-786-4460
Practice Address - Street 1:100 PASEO SAN PABLO
Practice Address - Street 2:508 DR. ARTURO CADILLA
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00961-7028
Practice Address - Country:US
Practice Address - Phone:787-786-4460
Practice Address - Fax:787-786-4460
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-04
Last Update Date:2014-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR81652086S0122X, 2086S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
No2086S0105XAllopathic & Osteopathic PhysiciansSurgerySurgery of the Hand
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR0081918Medicare ID - Type UnspecifiedPROVIDER #