Katalyst Health, LLC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

KATALYST HEALTH, LLC

Practice address

14704 SW 11 Street
Pembroke Pines, FL 33027

Phone

(954) 699-7696

Fax

(954) 206-6346

NPI assigned

Nov 13, 2018

Organization subpart

No

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

Authorized official

Name

Marie Denise Alvarez, RN

Title

Ceo

Phone

(954) 699-7696

Specialties & licenses 1

Addresses

Other names 1

• KATALYST PRIMARY CARE Doing business as

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

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1770052334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14704 SW 11TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330276194",
            "telephone_number": "954-699-7696",
            "fax_number": "954-206-6346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14704 SW 11 STREET",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "33027",
            "telephone_number": "954-699-7696",
            "fax_number": "954-206-6346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATALYST HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-13",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "ALVAREZ",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-699-7696",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KATALYST PRIMARY CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Adult Medicine Physician in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Adult Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.