Provider Demographics
NPI:1760645634
Name:CATALAN-AQUINO, MARIA E (MD)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:E
Last Name:CATALAN-AQUINO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:194 6TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:LE MARS
Mailing Address - State:IA
Mailing Address - Zip Code:51031-3716
Mailing Address - Country:US
Mailing Address - Phone:712-546-3610
Mailing Address - Fax:712-546-3694
Practice Address - Street 1:194 6TH AVE NE
Practice Address - Street 2:
Practice Address - City:LE MARS
Practice Address - State:IA
Practice Address - Zip Code:51031-3716
Practice Address - Country:US
Practice Address - Phone:712-546-3630
Practice Address - Fax:712-546-3694
Is Sole Proprietor?:No
Enumeration Date:2008-07-09
Last Update Date:2011-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA39772207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine