Individual provider Active NPI

Nelson Agosto Calderin

  • Student in an Organized Health Care Education/Training Program
  • San Juan, PR
National Provider Identifier
1356794630
Registry record updated Jul 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
5038665 Issued in PR
Practice address
G18 Calle 11
Urb. Fairview
San Juan, PR 00926-8101
Phone
(787) 647-3369
NPI assigned
Jul 21, 2016
Last updated
Jul 21, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 5038665 PR Primary

Addresses

Primary practice location

G18 Calle 11
Urb. Fairview
San Juan, PR 00926-8101

Mailing address

G18 Calle 11
Urb. Fairview
San Juan, PR 00926-8101
Phone (787) 647-3369

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5038665PRMDStudent in an Organized Health Care Education/Training Program

NPI Registry JSON

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469059200000",
    "number": "1356794630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "G18 CALLE 11",
            "address_2": "URB. FAIRVIEW",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009268101",
            "telephone_number": "787-647-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "G18 CALLE 11",
            "address_2": "URB. FAIRVIEW",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009268101",
            "telephone_number": "787-647-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGOSTO CALDERIN",
        "first_name": "NELSON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-21",
        "last_updated": "2016-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "5038665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2016; 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.