MEDICARE: CATHERINE GENER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	11041471	FL

General Provider Information

NPI Number	:	1013892397
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHERINE GENER

Provider Business Mailing Address
First Line	:	1120 NW 14TH ST
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33136-2107
Country	:	US
Telephone Number	:	305-482-5530
Fax Number	:	305-243-2009

Provider Business Practice Location Address
First Line	:	5555 PONCE DE LEON BLVD
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33146-2513
Country	:	US
Telephone Number	:	305-555-5555
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/07/2025
Last Update Date	:	02/02/2026

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Directions to “ CATHERINE GENER ” Practice Location

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