Healthcare Provider Details

I. General information

NPI: 1356933816
Provider Name (Legal Business Name): ESPERANZA CATALINA WELSH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/05/2021
Last Update Date: 02/05/2021
Certification Date: 02/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

JOSE BENITEZ 2704
MONTERREY NUEVO LEON
64060
MX

IV. Provider business mailing address

CALLE DE LA MESETA 229
SAN PEDRO GARZA GARCIA NUEVO LEON
66240
MX

V. Phone/Fax

Practice location:
  • Phone: 305-420-5767
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number92776
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: