Provider Demographics
NPI:1609859016
Name:CATALAN, CARLA BEATRIZ (DC)
Entity Type:Individual
Prefix:DR
First Name:CARLA
Middle Name:BEATRIZ
Last Name:CATALAN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 432120
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33243
Mailing Address - Country:US
Mailing Address - Phone:305-255-1222
Mailing Address - Fax:
Practice Address - Street 1:619 NW 12TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-3609
Practice Address - Country:US
Practice Address - Phone:305-512-4079
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-21
Last Update Date:2013-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8086111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL3813860 00Medicaid
FL3813860 00Medicaid