Healthcare Provider Details

I. General information

NPI: 1609787498
Provider Name (Legal Business Name): REBECA CALDERON MYER PHARM.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23020 SW 99TH CT
CUTLER BAY FL
33190-1985
US

IV. Provider business mailing address

23020 SW 99TH CT
CUTLER BAY FL
33190-1985
US

V. Phone/Fax

Practice location:
  • Phone: 786-624-2777
  • Fax:
Mailing address:
  • Phone: 786-624-2777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1835P0200X
TaxonomyPediatric Pharmacist
License NumberPS49678
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: