Active NPI
Roberto Angel Calderon, MD
- Internal Medicine Physician
- San Juan, PR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 12973
- Practice address
- Santurce Medical Mall
Ponce de Leon 1801
San Juan, PR 00909-0001 - Phone
- (787) 999-0441
- Fax
- (787) 792-1741
- NPI assigned
- Nov 8, 2006
- Last updated
- Jan 28, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 12973 | PR | Primary |
Addresses
Primary practice location
Santurce Medical Mall
Ponce de Leon 1801
San Juan, PR 00909-0001
Mailing address
Condominio El Bosque Apt 1011
13 Camino Los Baez
Guaynabo, PR 00971
Phone (787) 460-8389
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University Central del Caribe Escuela de Medicina, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Carretera 14 Interior
Bo Rincon
Cayey, PR 00737-2800
Phone (787) 434-1700
PO Box
Suite 372800
Cayey, PR 00737-2800
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12973 | PR | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mennonite General Hospital Inc | Current | Accepting new patients | |
| Mennonite General Hospital Inc. | Current | Accepting new patients | |
| Hospital Menonita de Cayey | Current | Accepting new patients | |
| Hospital Menonita de Cayey | Current | Accepting new patients | |
| Mennonite General Hospital Inc | Current | Accepting new patients | |
| Recinto de Ciencias Medicas | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 7
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.
-
- General Acute Care Hospital
- Cayey, PR
- NPI 1750317764
-
- General Acute Care Hospital
- Aibonito, PR
- NPI 1851320394
-
- Multi-Specialty Clinic/Center
- Ponce, PR
- NPI 1376612788
-
dba Grupo Medico Menonita Aibonito
- Specialist
- Aibonito, PR
- NPI 1043347768
-
dba Centro de Salud Conductual Menonita CIMA-Ponce
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Ponce, PR
- NPI 1144099813
-
- Internal Medicine Physician
- San Juan, PR
- NPI 1467524967
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cayey, PR
- NPI 1750317764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264636800000",
"number": "1851460166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CONDOMINIO EL BOSQUE APT 1011",
"address_2": "13 CAMINO LOS BAEZ",
"city": "GUAYNABO",
"state": "PR",
"postal_code": "00971",
"telephone_number": "787-460-8389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SANTURCE MEDICAL MALL",
"address_2": "PONCE DE LEON 1801",
"city": "SAN JUAN",
"state": "PR",
"postal_code": "009090001",
"telephone_number": "787-999-0441",
"fax_number": "787-792-1741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALDERON",
"first_name": "ROBERTO",
"middle_name": "ANGEL",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-08",
"last_updated": "2010-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PR",
"license": "12973",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Juan, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.