Individual provider Active NPI

Raul Calderin

  • Internal Medicine Physician
  • Tamarac, FL
National Provider Identifier
1063729374
Registry record updated May 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME115112 Issued in FL
Practice address
7800 N University Dr
Tamarac, FL 33321-2128
Phone
(954) 670-1170
Fax
(954) 670-1171
NPI assigned
Sep 8, 2010
Last updated
May 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X ME115112 FL Primary

Addresses

Primary practice location

7800 N University Dr
Tamarac, FL 33321-2128

Mailing address

1000 NW 57TH CT Ste 400
Miami, FL 33126-3292
Phone (305) 649-8100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140821001455 FL Practitioner - Internal MedicinePractitioner - Geriatric Medicine 8921226648 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Claremedica Viking LLCGroup PAC ID 4789112301, 75 clinicians

Practice addresses (Care Compare)

501 NW 103Rd Ave
Pembroke Pines, FL 33026-3924
Phone (954) 842-2175

7800 N University Dr
Tamarac, FL 33321-2128
Phone (954) 670-1170

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME115112FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Calderin Medical Center Corp Single Specialty CurrentSince Apr 1, 2026 Accepting new patients
Interamerican Medical Center Group LLC Single Specialty Current Accepting new patients
Interamerican Medical Center Group LLC Single Specialty CurrentSince Nov 1, 2024 Accepting new patients
Caremax Medical Center of Broward LLC Single Specialty CurrentSince Jan 23, 2024 Accepting new patients
Caremax Medical Center of Broward LLC Single Specialty CurrentSince Jan 23, 2024 Accepting new patients
Caremax Medical Center of Broward LLC Single Specialty Current Accepting new patients
Interamerican Medical Center Group LLC Single Specialty CurrentSince Nov 1, 2024 Accepting new patients
Claremedica Viking LLC Single Specialty CurrentSince Feb 3, 2025 Accepting new patients
Senior Medical Associates LLC Single Specialty Past Accepting new patients

Locations

3880 W Broward Blvd
#B4B7
Fort Lauderdale, FL 33312
Phone (954) 644-8902

2387 W 68th St
Ste 603
Hialeah, FL 33016

1000 NW 57th Ct
Ste 400
Miami, FL 33126

15105 NW 77th Ave
Fl 4
Miami Lakes, FL 33014
Phone (305) 455-2737

501 NW 103rd Ave
Pembroke Pines, FL 33026
Phone (954) 251-1497

4302 W Broward Blvd
Plantation, FL 33317
Phone (954) 644-8902

4306 W Broward Blvd
Plantation, FL 33317
Phone (954) 372-0423

7800 N University Dr
Tamarac, FL 33321
Phone (954) 670-1170

7800 N University Dr
#101204
Tamarac, FL 33321
Phone (954) 670-1170

7800 N University Dr
Ste 101204
Tamarac, FL 33321
Phone (954) 670-1170

Interoperability endpoints

  • Direct secure messaging: raul.calderin.p1@direct.caremax.nextgenshare.com

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1063729374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 NW 57TH CT STE 400",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263292",
            "telephone_number": "305-649-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 N UNIVERSITY DR",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333212128",
            "telephone_number": "954-670-1170",
            "fax_number": "954-670-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDERIN",
        "first_name": "RAUL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-08",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME115112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

Verify at the official NPI Registry.