Provider Demographics
NPI:1811900079
Name:NATER, RAQUEL DEL C (LND, RD)
Entity type:Individual
Prefix:MRS
First Name:RAQUEL
Middle Name:DEL C
Last Name:NATER
Suffix:
Gender:F
Credentials:LND, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CALLE #2 A-2
Mailing Address - Street 2:ALTURAS DEL FALMBOYAN
Mailing Address - City:BAYAMON
Mailing Address - State:PR
Mailing Address - Zip Code:00959
Mailing Address - Country:US
Mailing Address - Phone:787-269-0777
Mailing Address - Fax:
Practice Address - Street 1:CALLE #2 A-2
Practice Address - Street 2:ALTURAS DEL FALMBOYAN
Practice Address - City:BAYAMON
Practice Address - State:PR
Practice Address - Zip Code:00959
Practice Address - Country:US
Practice Address - Phone:787-269-0777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2009-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR593133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist