Provider Demographics
NPI:1306285580
Name:ROVOLETTO, CATERINA NICOLE (MD)
Entity type:Individual
Prefix:
First Name:CATERINA
Middle Name:NICOLE
Last Name:ROVOLETTO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 29207 DEPTO. MEDICINA DE EMERGENCIA
Mailing Address - Street 2:
Mailing Address - City:SAN JUAN
Mailing Address - State:PR
Mailing Address - Zip Code:00929
Mailing Address - Country:US
Mailing Address - Phone:787-757-1800
Mailing Address - Fax:787-750-0930
Practice Address - Street 1:AVE. 65 DE INFANTERIA, CARR. 3, KM 8.3
Practice Address - Street 2:HOSPITAL DE LA UPR, DR. FEDERICO TRILLA
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00985
Practice Address - Country:US
Practice Address - Phone:787-757-1800
Practice Address - Fax:787-750-0930
Is Sole Proprietor?:No
Enumeration Date:2013-06-20
Last Update Date:2017-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
FLME127185207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program