Provider Demographics
NPI:1821342189
Name:FELIX-ANGELES, CATALINA P
Entity Type:Individual
Prefix:
First Name:CATALINA
Middle Name:P
Last Name:FELIX-ANGELES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:511 W GROVE ST
Mailing Address - Street 2:UNIT 105
Mailing Address - City:MIDDLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02346-1458
Mailing Address - Country:US
Mailing Address - Phone:505-923-3427
Mailing Address - Fax:508-923-3428
Practice Address - Street 1:511 W GROVE ST
Practice Address - Street 2:UNIT 105
Practice Address - City:MIDDLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02346-1458
Practice Address - Country:US
Practice Address - Phone:505-923-3427
Practice Address - Fax:508-923-3428
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-07
Last Update Date:2014-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN193777163W00000X
MA2013009759363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse