Raul Calderon, OTR/L

Primary specialty

Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X

License

2898 Issued in NM

Practice address

304 N Richardson Ave
Roswell, NM 88201-4639

Phone

(575) 578-0069

Fax

(575) 578-0124

NPI assigned

Jun 12, 2012

Last updated

Jun 12, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Raul Calderon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• A-Z Therapy Services, Inc.

  • Rehabilitation Clinic/Center
  • Rio Rancho, NM
  • NPI 1861772972
  NPD (past)

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339459200000",
    "number": "1326300658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 N RICHARDSON AVE",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882014639",
            "telephone_number": "575-578-0069",
            "fax_number": "575-578-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 N RICHARDSON AVE",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882014639",
            "telephone_number": "575-578-0069",
            "fax_number": "575-578-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDERON",
        "first_name": "RAUL",
        "name_prefix": "Mr.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-12",
        "last_updated": "2012-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "NM",
            "license": "2898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAUL",
            "last_name": "CALDERON",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• C-B Laboratory Inc
• Tayla Cabanilla
• John D Caggiano, M.D.
• Nida C Cala, P.T.
• Marissa Calderon
• Mary Caldwell
• Shannon Ballard Callaway, PA-C
• Jana Elaine Camp
• Jennifer Campbell
• Jennifer Leigh Campbell, M.S. CCC-SLP

• Occupational Medicine Clinic/Center in Roswell, NM
• Providers in Roswell, NM by specialty
• Occupational Medicine Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.