Provider Demographics
NPI:1538253380
Name:CATALA, LUIS ORLANDO
Entity type:Individual
Prefix:
First Name:LUIS
Middle Name:ORLANDO
Last Name:CATALA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 3 BOX 8086
Mailing Address - Street 2:BO CANABON
Mailing Address - City:BARRANQUITAS
Mailing Address - State:PR
Mailing Address - Zip Code:00794-9501
Mailing Address - Country:US
Mailing Address - Phone:787-857-0775
Mailing Address - Fax:
Practice Address - Street 1:57 CALLE PRINCIPAL
Practice Address - Street 2:LA VEGA
Practice Address - City:BARRANQUITAS
Practice Address - State:PR
Practice Address - Zip Code:00794-1631
Practice Address - Country:US
Practice Address - Phone:787-857-1775
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2009-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR2815183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician