MEDICARE: WILSON CALZADILLA

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
1	106S00000X	Behavior Technician	RBT-20-141218	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1881294049
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILSON CALZADILLA

Provider Business Mailing Address
First Line	:	11420 SW 134TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33186-4338
Country	:	US
Telephone Number	:	786-343-8122
Fax Number	:

Provider Business Practice Location Address
First Line	:	11420 SW 134TH AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33186-4338
Country	:	US
Telephone Number	:	786-343-8122
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2020
Last Update Date	:	06/03/2022

Similar Medicare Providers

1588558423 — ACCESS MEDICAL GROUP OF MIAMI MEDICARE, LLC
Practice Location Address:

701 NW 27TH AVE
MIAMI, FL
33125-3012

Practice Phone: 786-744-1900
Practice Fax: 305-760-4141

1760325039 — ONEL BEJERANO RODRIGUEZ RBT
Practice Location Address:

12284 SW 82ND TER
MIAMI, FL
33183-4338

Practice Phone: 305-619-6329
Practice Fax:

1548087471 — NORAILYS LEON BEJERANO
Practice Location Address:

12284 SW 82ND TER
MIAMI, FL
33183-4338

Practice Phone: 561-373-0199
Practice Fax:

1164211959 — ARACELY DE LOS ANGELES MONTEAGUDO GONZALEZ
Practice Location Address:

2811 NW 4TH TER
MIAMI, FL
33125-4338

Practice Phone: 305-975-1769
Practice Fax:

1972481646 — NEW PATHWAYS CHILDRENS CENTER LLC
Practice Location Address:

12284 SW 82ND TER
MIAMI, FL
33183-4338

Practice Phone: 305-632-3171
Practice Fax:

1629195862 — KARINA IGLESIAS PTA
Practice Location Address:

13084 SW 88TH LN
MIAMI, FL
33186-1606

Practice Phone: 786-443-4338
Practice Fax:

Directions to “ WILSON CALZADILLA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.