Lice Calvo Morales

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11023563 Issued in FL

Practice address

17320 NW 74TH Ave Apt 101
Hialeah, FL 33015-7174

Phone

(305) 615-0054

NPI assigned

Oct 2, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1639959356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17320 NW 74TH AVE APT 101",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330157174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17320 NW 74TH AVE APT 101",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330157174",
            "telephone_number": "305-615-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALVO MORALES",
        "first_name": "LICE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11023563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Domingo J Caleyo, M.A.
• Aida Calviac Mora
• Lazaro Manuel Calvino Acosta, M.D.
• Yailin Calvino
• Mayrelis Calvo Guerra
• Yuliette Calvo Ruiz
• Darcy Gillett Calvo, LCSW
• Jose R Calvo Jr., DDS
• Julian Calzacorta
• Anabel Calzada

• Nurse Practitioner in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2023; 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.