Healthcare Provider Details

I. General information

NPI: 1376482018
Provider Name (Legal Business Name): CATHERINE PAEZ DDS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10818 NW 58TH ST
DORAL FL
33178-2854
US

IV. Provider business mailing address

10818 NW 58TH ST
DORAL FL
33178-2854
US

V. Phone/Fax

Practice location:
  • Phone: 305-477-7601
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: CATHERINE PAEZ
Title or Position: OWNER
Credential: DDS
Phone: 954-394-0449