CALATA MEDICAL GROUP INC NPI 1013626472

NPI Information

  • NPI: 1013626472
  • Provider Name: CALATA MEDICAL GROUP INC
  • Classification: Family Medicine - 207QA0505X
  • Specialization: Adult Medicine
  • Entity Type: Organization
  • CLIA Number: 10D2285842
  • Address: 10890 NW 17TH ST UNIT 126
    MIAMI, FL
    ZIP 33172
  • Phone: (617) 959-9214

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NPI Details

CALATA MEDICAL GROUP INC is an adult medicine family medicine in Miami, FL. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. CALATA MEDICAL GROUP INC NPI is 1013626472. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10890 NW 17TH ST UNIT 126
MIAMI, FL
ZIP 33172-068
Phone: (617) 959-9214
Fax: (786) 866-4726

The provider's authorized official is Tania Aidee Velez Calao .
The authorized official title is President and has the following contact phone number (617) 959-9214.

The CLIA number assigned to this NPI record is 10D2285842 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/15/2022 and was last updated on 11/15/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QA0505XFamily MedicineAdult MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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