Provider Demographics
NPI:1932791191
Name:ALCINDOR, NATACHA N
Entity Type:Individual
Prefix:
First Name:NATACHA
Middle Name:N
Last Name:ALCINDOR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:511 MALLARD CT
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34759-4409
Mailing Address - Country:US
Mailing Address - Phone:786-468-3170
Mailing Address - Fax:
Practice Address - Street 1:511 MALLARD CT
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34759-4409
Practice Address - Country:US
Practice Address - Phone:785-468-3170
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-09
Last Update Date:2021-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home