Provider Demographics
NPI:1104257211
Name:CATALA, JAIME AGUSTIN (MD)
Entity type:Individual
Prefix:
First Name:JAIME
Middle Name:AGUSTIN
Last Name:CATALA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5130 LINTON BLVD STE G6
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-6597
Mailing Address - Country:US
Mailing Address - Phone:561-501-4266
Mailing Address - Fax:561-865-7731
Practice Address - Street 1:5130 LINTON BLVD STE G6
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-6597
Practice Address - Country:US
Practice Address - Phone:561-501-4266
Practice Address - Fax:561-865-7731
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-29
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME140588207RI0200X
PR18631390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty