Jose G Calderon, MD

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

ME77345 Issued in FL

Practice address

3100 SW 62ND Ave
Miami, FL 33155-3009

Phone

(305) 662-8272

Fax

(305) 663-6868

NPI assigned

Nov 22, 2005

Last updated

Jul 18, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Nicklaus Children's Pediatric Specialists, LLC

  dba Nicklaus Children's Pediatric Specialists - Emergency Medicine

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • Miami, FL
  • NPI 1588063176
  Medicare reassignment NPD
• Nicklaus Children's Pediatric Specialists, LLC

  dba Nicklaus Children's Pediatric Specialists - Hematology/Oncology

  • Pediatric Hematology & Oncology Physician
  • Fort Lauderdale, FL
  • NPI 1295695104
  NPD
• Nicklaus Children's Pediatric Specialists, LLC

  dba Nicklaus Children's Pediatric Specialists - Allergy and Immunology

  • Pediatric Allergy/Immunology Physician
  • Miami, FL
  • NPI 1669926507

  Allergy & Immunology

  NPD

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374105600000",
    "number": "1699758813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 SW 62ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553009",
            "telephone_number": "305-662-8272",
            "fax_number": "305-663-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 SW 62ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553009",
            "telephone_number": "305-662-8272",
            "fax_number": "305-663-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDERON",
        "first_name": "JOSE",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2013-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0201X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "CT",
            "license": "035659",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "FL",
            "license": "ME77345",
            "primary": true
        },
        {
            "code": "2080P0201X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "CT",
            "license": "35659",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008381300",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001356593",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Calixto Florencio Calderon, MD
• Carlos Enrique Calderon, PT, DPT
• Derek Calderon
• Diana Margarita Calderon, RN
• Helen Alexandra Calderon, B.A
• Jose Luis Calderon, APRN 11001721
• Julio Gonzalez Calderon, M.D.
• Kelly Calderon
• Liany Calderon
• Maday Milian Calderon

• Allergy & Immunology Physician in Miami, FL
• Providers in Miami, FL by specialty
• Allergy & Immunology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.