Provider Demographics
NPI:1215464102
Name:NATURE MED CENTER C.S.P.
Entity type:Organization
Organization Name:NATURE MED CENTER C.S.P.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ND
Authorized Official - Prefix:DR
Authorized Official - First Name:SILMACORAL
Authorized Official - Middle Name:MARYVI
Authorized Official - Last Name:LOPEZ JIMENEZ
Authorized Official - Suffix:
Authorized Official - Credentials:NATUROPATHIC DOCTOR
Authorized Official - Phone:787-685-5906
Mailing Address - Street 1:PO BOX 397
Mailing Address - Street 2:
Mailing Address - City:SAN SEBASTIAN
Mailing Address - State:PR
Mailing Address - Zip Code:00685
Mailing Address - Country:US
Mailing Address - Phone:787-280-2626
Mailing Address - Fax:
Practice Address - Street 1:204 CALLE RUIZ BELVIS
Practice Address - Street 2:
Practice Address - City:SAN SEBASTIAN
Practice Address - State:PR
Practice Address - Zip Code:00685
Practice Address - Country:US
Practice Address - Phone:787-280-2626
Practice Address - Fax:787-280-2626
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-22
Last Update Date:2017-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR47261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service