Malfryn Domingo Calderon
Individual provider Active NPI Physician Assistant · Caguas, PR
NPI 1043084742 · NPPES record last updated Nov 14, 2023
Key facts
- NPI
- 1043084742
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 1487PA (PR)
- Practice address
- Reparto Caguax
Calle Colesibi Q16
Caguas, PR 00725 - Phone
- (787) 718-0265
- NPI assigned
- Nov 13, 2023
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1487PA | PR | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 1487PA | PR | Yes |
Addresses
Primary practice location
Reparto Caguax
Calle Colesibi Q16
Caguas, PR 00725
Mailing address
Q18 Calle Colesibi
Caguas, PR 00725-3329
Phone (787) 718-0265
Other providers in Caguas, PR
- Caguas SP Inc
- Caguas Superpharmacy Inc
- Caguas X Ray
- Ketsie Ivelisse Calderon-Vigo
- Arlin Calderon
- Javier Calero Doitteau
- Calero Treatment Services LLC
- Arianna Callaway
- Yaxna M Camacho Garcia
- Dolitza Camacho
All providers in Caguas, PR · Physician Assistant in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.