Individual provider Active NPI

Milagros Yadenis Calvo Marcelo, APRN

  • Family Medicine Physician
  • Tampa, FL
National Provider Identifier
1902589328
Registry record updated Aug 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
APRN11027968 Issued in FL
Practice address
6800 N Dale Mabry Hwy Ste 150
Tampa, FL 33614-3979
Phone
(813) 252-6013
Fax
(813) 755-4539
NPI assigned
Aug 11, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X APRN11027968 FL Primary

Addresses

Primary practice location

6800 N Dale Mabry Hwy Ste 150
Tampa, FL 33614-3979

Mailing address

6800 N Dale Mabry Hwy Ste 150
Tampa, FL 33614-3979
Phone (813) 252-6013

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
APRN11027968FLMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1691712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691712000000",
    "number": "1902589328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6800 N DALE MABRY HWY STE 150",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143979",
            "telephone_number": "813-252-6013",
            "fax_number": "813-755-4539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 N DALE MABRY HWY STE 150",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143979",
            "telephone_number": "813-252-6013",
            "fax_number": "813-755-4539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALVO MARCELO",
        "first_name": "MILAGROS",
        "middle_name": "YADENIS",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-11",
        "last_updated": "2023-08-11",
        "certification_date": "2023-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "APRN11027968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.