Octavio Pablo Calderin, APRN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11029855 Issued in FL

Practice address

12955 SW 286TH St
Homestead, FL 33033-7459

Phone

(786) 278-5998

NPI assigned

Nov 30, 2023

Sex

Male

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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 and National Provider Directory roles.

• Las Marias Medical Center LLC

  • Primary Care Clinic/Center
  • Tavernier, FL
  • NPI 1891488680
  NPD

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1881460947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12955 SW 286TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330337459",
            "telephone_number": "786-278-5998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12955 SW 286TH ST",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330337459",
            "telephone_number": "786-278-5998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDERIN",
        "first_name": "OCTAVIO",
        "middle_name": "PABLO",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-30",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11029855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriela Calas Fernandez, RBT
• Ana Laura Calas
• Iliuva Calas
• Ayelexi Calcines Rodriguez
• Yudieddy Calderin Diaz
• Yisel Calderon Ulloa
• Destiny Marie Calderon
• Johana Calderon
• Marisa Calderon, RD
• Arletis Calero Bosch, PMHNP

• Family Nurse Practitioner in Homestead, FL
• Providers in Homestead, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.