Isaac Ramon Calero Sr., DMD
Individual provider
Active NPI
Dentist · Isabela, PR
NPI 1366440208 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1366440208
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 2629 (PR)
- Practice address
- 108 Calle Roman
Isabela, PR 00662-2928
- Phone
- (787) 872-7840
- Fax
- (787) 872-7840
- NPI assigned
- Jul 13, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|
| I20160321002453 |
PR |
Order and Referring Only - Dentist
Practitioner - Dentist |
3870890734 |
|
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|
| 2629 | PR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|
| West Side LLC |
Dentist |
Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|
| Dentist |
122300000X |
2629 |
PR |
Yes |
Addresses
Primary practice location
108 Calle Roman
Isabela, PR 00662-2928
Mailing address
B2 Calle Turquesa
Urbanizacion Lamela
Isabela, PR 00662-2369
Phone (787) 872-3492
Other identifiers
| Identifier | Type | State | Issuer |
|---|
| 42089 | Other | | SSS |
| 6620067 | Other | | HUMANA |
| 206772 | Other | | PRIVATE PLANS/P. HEALTH |
| 100034 | Other | | CA |
| P089 | Other | | IMC |
Other names
- Dr. Isaac Ramon Calero Professional name