Provider Demographics
NPI:1801861521
Name:CATENA, WILLIAM J (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:J
Last Name:CATENA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1140 BROADBAND DR
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32901-2623
Mailing Address - Country:US
Mailing Address - Phone:321-733-1901
Mailing Address - Fax:321-733-0443
Practice Address - Street 1:1160 BROADBAND DR
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32901-2623
Practice Address - Country:US
Practice Address - Phone:321-733-1901
Practice Address - Fax:321-733-0443
Is Sole Proprietor?:No
Enumeration Date:2006-02-17
Last Update Date:2016-02-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME 0083001207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
440003504OtherRAIL ROAD MEDICARE
FL261986500Medicaid
FL261986500Medicaid
440003504OtherRAIL ROAD MEDICARE