Individual provider Active NPI

Nelly Ivelisse Catala, DMD

  • Dentist
  • Bayamon, PR
National Provider Identifier
1104813690
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
2286 Issued in PR
Practice address
Ave Las Millones D-95
Repto Alhambra
Bayamon, PR 00957
Phone
(787) 740-1919
Fax
(787) 785-8688
NPI assigned
Sep 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2286 PR Primary

Addresses

Primary practice location

Ave Las Millones D-95
Repto Alhambra
Bayamon, PR 00957

Mailing address

PO Box 2735
Bayamon, PR 00960-2735
Phone (787) 740-1919

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150623001130 PR Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 4183935703

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2286PRMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Morales Dental Office PSC Dentist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1104813690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2735",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009602735",
            "telephone_number": "787-740-1919",
            "fax_number": "787-785-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE LAS MILLONES D-95",
            "address_2": "REPTO ALHAMBRA",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00957",
            "telephone_number": "787-740-1919",
            "fax_number": "787-785-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATALA",
        "first_name": "NELLY",
        "middle_name": "IVELISSE",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "2286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.