Organization Active NPI

Freddy Caldera MD Inc

  • Family Medicine Physician
  • Miami, FL
National Provider Identifier
1619178076
Registry record updated May 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FREDDY CALDERA MD INC
Practice address
1127 NW 22ND Ave
Miami, FL 33125-2738
Phone
(305) 649-6111
Fax
(305) 649-1448
NPI assigned
May 31, 2007
Last updated
May 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2014

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

Authorized official

Name
Arturo G. Venereo
Title
President
Phone
(305) 649-6111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1127 NW 22ND Ave
Miami, FL 33125-2738

Mailing address

1127 NW 22ND Ave
Miami, FL 33125-2738
Phone (305) 649-6111

Other identifiers 3

IdentifierTypeStateIssuer
277333300MedicaidFL
061642700MedicaidFL
1033169222OtherFLINDIVIDUAL NPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398988800000",
    "number": "1619178076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1127 NW 22ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331252738",
            "telephone_number": "305-649-6111",
            "fax_number": "305-649-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1127 NW 22ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331252738",
            "telephone_number": "305-649-6111",
            "fax_number": "305-649-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDDY CALDERA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2014-05-02",
        "status": "A",
        "authorized_official_last_name": "VENEREO",
        "authorized_official_first_name": "ARTURO",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-649-6111"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "277333300",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "061642700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1033169222",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2014; 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.