Healthcare Provider Details

I. General information

NPI: 1992369300
Provider Name (Legal Business Name): ELIZABETH CATO RD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2019
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 CARR 177
BAYAMON PR
00959-8913
US

IV. Provider business mailing address

500 CARR 177
BAYAMON PR
00959-8913
US

V. Phone/Fax

Practice location:
  • Phone: 662-631-9088
  • Fax:
Mailing address:
  • Phone: 662-631-9088
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberD2190
License Number StateMS
# 2
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberND13056
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number2837
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: