Healthcare Provider Details

I. General information

NPI: 1346535531
Provider Name (Legal Business Name): NELLY ANN CATALA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/15/2011
Last Update Date: 11/22/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 CALLE BARRIO SABALOS NUEVO ANTIGUO HOSPITAL RAMON EMETERIO BETANCES
MAYAGUEZ PR
00682
US

IV. Provider business mailing address

410 AVENIDA HOSTOS SUITE 7
MAYAGUEZ PR
00682-1522
US

V. Phone/Fax

Practice location:
  • Phone: 787-833-0663
  • Fax:
Mailing address:
  • Phone: 787-833-0663
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number19068
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: