Provider Demographics
NPI:1902269202
Name:CIRALDO, KATRINA JEANETTE (MD)
Entity Type:Individual
Prefix:DR
First Name:KATRINA
Middle Name:JEANETTE
Last Name:CIRALDO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1150 NW 14TH ST STE 507
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33136-2116
Mailing Address - Country:US
Mailing Address - Phone:305-243-4960
Mailing Address - Fax:305-243-3634
Practice Address - Street 1:1150 NW 14TH ST STE 507
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-2116
Practice Address - Country:US
Practice Address - Phone:305-243-4960
Practice Address - Fax:305-243-3634
Is Sole Proprietor?:No
Enumeration Date:2016-04-04
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA164177207Q00000X
FLME152765207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine