Individual provider Active NPI

Paulita Calderon, M.D.

  • General Practice Physician
  • Bayamon, PR
National Provider Identifier
1326077926
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
10752 Issued in PR
Practice address
5 St. Bloque 6 #27 Santa Rosa
No. 2
Bayamon, PR 00959-8815
Phone
(787) 995-1313
Fax
(787) 995-1313
NPI assigned
Jul 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 10752 PR Primary

Addresses

Primary practice location

5 St. Bloque 6 #27 Santa Rosa
No. 2
Bayamon, PR 00959-8815

Mailing address

PO Box 372278
Cayey, PR 00737-2278
Phone (787) 995-1313

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR
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
I20260521003331 PR Practitioner - General Practice 7214407030 Practice locations: Bayamon, PR

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 Calle
Suite 10
Bayamon, PR 00959

6 -27 Calle
Suite 5
Bayamon, PR 00959-6639
Phone (787) 995-1313

B5 Calle
Suite 2
Bayamon, PR 00959

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10752PRMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1326077926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 372278",
            "city": "CAYEY",
            "state": "PR",
            "postal_code": "007372278",
            "telephone_number": "787-995-1313",
            "fax_number": "787-995-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 ST. BLOQUE 6 #27 SANTA ROSA",
            "address_2": "NO. 2",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "009598815",
            "telephone_number": "787-995-1313",
            "fax_number": "787-995-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDERON",
        "first_name": "PAULITA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "10752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayamon, PR

Sources for this page

Verify at the official NPI Registry.