Provider Demographics
NPI:1316234024
Name:CALA, MARIO ADRIAN (DPM)
Entity type:Individual
Prefix:DR
First Name:MARIO
Middle Name:ADRIAN
Last Name:CALA
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:13651 SW 26TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-6378
Mailing Address - Country:US
Mailing Address - Phone:305-225-4277
Mailing Address - Fax:305-225-4278
Practice Address - Street 1:4410 W 16TH AVE STE 49
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-7193
Practice Address - Country:US
Practice Address - Phone:305-558-7437
Practice Address - Fax:305-558-1881
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-01
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO3498213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery