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NPI Code Detail

MEDICARE: ISAAC RAMON CALERO SR. DMD

MEDICARE:   ISAAC RAMON CALERO SR. DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist2629PR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
142089OTHERSSS
26620067OTHERHUMANA
3206772OTHERPRIVATE PLANS/P. HEALTH
4100034OTHERCA
5P089OTHERIMC

General Provider Information

NPI Number : 1366440208
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISAAC RAMON CALERO SR. DMD
Provider Business Mailing Address
First Line : B2 CALLE TURQUESA
Second Line : URBANIZACION LAMELA
City : ISABELA
State : PR
Zip : 00662-2369
Country : US
Telephone Number : 787-872-3492
Fax Number : 787-872-7840
Provider Business Practice Location Address
First Line : 108 CALLE ROMAN
Second Line :
City : ISABELA
State : PR
Zip : 00662-2928
Country : US
Telephone Number : 787-872-7840
Fax Number : 787-872-7840
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2005
Last Update Date : 07/08/2007

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Directions to “ ISAAC RAMON CALERO SR. DMD” Practice Location

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