Fernando Calderon, M.D.

Primary specialty

Neurodevelopmental Disabilities PhysicianTaxonomy code 2084P0005X

License

11876 Issued in PR

Practice address

1549 Calle Alda
San Juan, PR 00926-2709

Phone

(787) 622-9797

Fax

(787) 622-9888

NPI assigned

Aug 31, 2006

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

Enrolled in PR

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

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.

• Community Cornerstones Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Yauco, PR
  • NPI 1396893715
  NPD (past)
• Community Cornerstones Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ponce, PR
  • NPI 1578658647
  NPD (past)
• Continuum Mental Care Corp

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fajardo, PR
  • NPI 1740223973
  NPD (past)
• Continuum Mental Care Corp

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fajardo, PR
  • NPI 1861656845
  NPD (past)
• First Hospital Panamericano, Inc.

  • Psychiatric Hospital
  • Cidra, PR
  • NPI 1396022349
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992816730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 AVE ASHFORD APT 7A",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009071537",
            "telephone_number": "787-721-6557",
            "fax_number": "787-765-0691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1549 CALLE ALDA",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009262709",
            "telephone_number": "787-622-9797",
            "fax_number": "787-622-9888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDERON",
        "first_name": "FERNANDO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0005X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurodevelopmental Disabilities",
            "state": "PR",
            "license": "11876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalia Marie Calderon Diaz, MD
• Laura Calderon Lugo
• Yilmarie Calderon Ocasio
• Elizabeth Calderon-Alicea, MD
• Dagnes Y Calderon, M.D.
• Kevia Martina Calderon, PHD
• Luisa O Calderon, RPH
• Maria del Carmen Calderon, M.D.
• Natalia Calderon
• Ricardo Alejandro Calderon

• All providers in San Juan, PR
• Neurodevelopmental Disabilities Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.