Provider Demographics
NPI:1699309054
Name:NATAL, YAHAIRA (PSYD)
Entity type:Individual
Prefix:
First Name:YAHAIRA
Middle Name:
Last Name:NATAL
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:URB. VILLAS DEL PRADO
Mailing Address - Street 2:CALLE DEL RIO #503
Mailing Address - City:JUANA DIAZ
Mailing Address - State:PR
Mailing Address - Zip Code:00795
Mailing Address - Country:US
Mailing Address - Phone:787-207-7778
Mailing Address - Fax:
Practice Address - Street 1:BO. JAGUEYES CARR. 149 KM. 59.6
Practice Address - Street 2:LOCAL #G-2
Practice Address - City:VILLALBA
Practice Address - State:PR
Practice Address - Zip Code:00766
Practice Address - Country:US
Practice Address - Phone:787-955-1140
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-25
Last Update Date:2020-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR005961103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling