| Doctor Name: | DR. LUIS ANTONIO RIVERA NATALI |
| NPI Number: | 1760444947 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 15938 |
| Business Practice Address: | 117 Calle Estacion Esquina Virginia Mayaguez, PR - 006803839 |
| Business Phone Number: | 7878328444 |
| Business Fax Number: | |
| Mailing Address: | I - 4 Calle Julia De Burgos, Urbanizacion Borinquen CABO ROJO |
| State: | PR |
| Postal Code: | 006233351 |
| Phone Number: | 7873741515 |
| Fax Number: | |
| NPI Enumeration Date: | 04/04/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 15938 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |