Ileana Aimee Calderon Cestero, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

23571 Issued in PR

Practice address

8890 W Oakland Park Blvd Ste 200
Sunrise, FL 33351-7221

Phone

(954) 741-3304

Fax

(754) 222-6417

NPI assigned

Jan 26, 2022

Last updated

Sep 24, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mrs. Ileana Aimee Tully Other name

Medicare fee-for-service enrollment

Enrolled in PR, FL2 enrollments

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 2

Specialty

General Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Harvey S. Kleiner DO, LLCGroup PAC ID 1355523879, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Harvey S. Kleiner DO, LLC

  • General Practice Physician
  • Sunrise, FL
  • NPI 1114224839
  Medicare reassignment Care Compare group NPD
• Infinity Healthcare Medical LLC

  • Family Medicine Physician
  • Sunrise, FL
  • NPI 1427860972
  Medicare reassignment NPD
• MD Healthcare Margate, LLC

  • Family Medicine Physician
  • Margate, FL
  • NPI 1790297943
  NPD (past)
• Aguada Medical Center Care Club

  • Clinic/Center
  • Aguada, PR
  • NPI 1720490998
  NPD (past)
• Aguada Medical Center Inc.

  • Diagnostic Radiology Physician
  • Aguada, PR
  • NPI 1174815948
  NPD (past)

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1205588605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8890 W OAKLAND PARK BLVD STE 200",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517221",
            "telephone_number": "954-741-3304",
            "fax_number": "754-222-6417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8890 W OAKLAND PARK BLVD STE 200",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333517221",
            "telephone_number": "954-741-3304",
            "fax_number": "754-222-6417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDERON CESTERO",
        "first_name": "ILEANA",
        "middle_name": "AIMEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-26",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "23571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ILEANA",
            "last_name": "TULLY",
            "middle_name": "AIMEE",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jessica Cadette, BCBA-D, ED.D.
• Denise M. Cairns, NNP
• Regalado Dimazana Calapatia II, RPT
• Melissa Sue Calcagniti, LMT
• Luis C Calderin Dayoub
• Mercedes M Calderon-Flores
• Paola Andrea Calderon
• Jennifer Vaina Calvin, MS, CCC-SLP
• Sharon Franceta Camacho
• Reinaldo A. Camargo, MD

• General Practice Physician in Sunrise, FL
• Providers in Sunrise, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.