| Provider / Organization | NPI | Date Certified |
|---|---|---|
| NATANAEL RAYA | 1912596651 | 2021-01-17 |
Natanael Raya is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1912596651. Registration indicates Natanael Raya is a provider of services with a specialization in Nursing Service Providers, Registered Nurse (Registered Nurse: Critical Care Medicine, ) (All Other Specialties & Provider Types, ) (Registered Nurse Critical Care Medicine, Nursing Service Providers) (Registered Nurse, )
| Entity Type | Individual |
| Provider Name | Mr. Natanael Raya RN |
| Practice Office Address | 800 PRUDENTIAL DR JACKSONVILLE, FL US |
| Practice Office Telephone | 9042022000 |
| Mailing Address | 72 S MAPLE ST FELLSMERE, FL 329487104 US |
| Business Telephone | 7724534756 |
| Code | Practice | License No State |
|---|---|---|
| 163WC0200X PRIMARY | Nursing Service Providers Registered Nurse Registered Nurse: Critical Care Medicine All Other Specialties & Provider Types Registered Nurse Critical Care Medicine Nursing Service Providers Registered Nurse | RN9419622
FL |