Provider Demographics
NPI:1366941411
Name:OSORIO, NATALIE (PSYD)
Entity type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:
Last Name:OSORIO
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:HC 4 BOX 30529
Mailing Address - Street 2:
Mailing Address - City:HATILLO
Mailing Address - State:PR
Mailing Address - Zip Code:00659-8317
Mailing Address - Country:US
Mailing Address - Phone:787-908-2383
Mailing Address - Fax:
Practice Address - Street 1:DEL NORTE PROFESSIONAL CENTER SUITE 303
Practice Address - Street 2:CARR 493 KM 0.9 BO CARRIZALES
Practice Address - City:HATILLO
Practice Address - State:PR
Practice Address - Zip Code:00659
Practice Address - Country:US
Practice Address - Phone:939-416-8333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-05
Last Update Date:2018-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5969103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty