NPIMap

Individual provider Active NPI

Ruth M Calderon Collado, MD

  • General Practice Physician
  • Kissimmee, FL
National Provider Identifier
1790957538
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN695 Issued in FL
Practice address
819 N Central Ave Ste a
Kissimmee, FL 34741-5027
Phone
(407) 288-8242
Fax
(407) 490-1309
NPI assigned
Apr 1, 2008
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 17062 PR
General Practice Physician 208D00000X ACN695 FL Primary

Addresses

Primary practice location

819 N Central Ave Ste a
Kissimmee, FL 34741-5027

Mailing address

PO Box 4189
Deerfield Beach, FL 33442-4189
Phone (561) 406-6080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180405001357 FL Practitioner - General Practice 6204905052 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Consultants of Florida LLCGroup PAC ID 6002988847, 35 clinicians

Practice addresses (Care Compare)

819 N Central Ave
Kissimmee, FL 34741-5027
Phone (407) 288-8242

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ACN695FLMDGeneral Practice Physician
17062PRMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Xpress Urgent Care, LLC. General Practice CurrentSince Jun 28, 2022 Accepting new patients
Medical Consultants of Florida, LLC General Practice CurrentSince Mar 28, 2022 Accepting new patients
Xpress Urgent Care, LLC. General Practice CurrentSince Jun 28, 2022 Accepting new patients
Patient Medical Center of Florida Inc General Practice CurrentSince Mar 28, 2022 Accepting new patients
Orlando Family Physicians, LLC General Practice PastSince Jan 5, 2025 Accepting new patients
Orlando Family Physicians, LLC General Practice PastSince Jun 22, 2021 Accepting new patients

Locations

2548 Simpson Rd
Kissimmee, FL 34744
Phone (407) 632-4201

2550 Simpson Rd
Kissimmee, FL 34744
Phone (407) 348-0990

819 N Central Ave
Kissimmee, FL 34741
Phone (407) 288-8242

819 N Central Ave
Ste A
Kissimmee, FL 34741
Phone (407) 288-8242

819 N Central Ave
Ste B
Kissimmee, FL 34741
Phone (407) 874-1440

672 SW Prima Vista Blvd
#10
Port St Lucie, FL 34983
Phone (772) 905-2555

672 SW Prima Vista Blvd
Ste 101
Port St Lucie, FL 34983
Phone (772) 905-2555

Networks

  • Freedom Health HMO Network

Organizations & group practices 6

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1790957538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4189",
            "city": "DEERFIELD BEACH",
            "state": "FL",
            "postal_code": "334424189",
            "telephone_number": "561-406-6080",
            "fax_number": "954-363-9663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 N CENTRAL AVE STE A",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415027",
            "telephone_number": "407-288-8242",
            "fax_number": "407-490-1309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDERON COLLADO",
        "first_name": "RUTH",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-01",
        "last_updated": "2023-03-07",
        "certification_date": "2022-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17062",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.