Healthcare Provider Details

I. General information

NPI: 1134604135
Provider Name (Legal Business Name): ANA M CALZADA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/26/2018
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17921 NW 48TH PL
MIAMI GARDENS FL
33055-3217
US

IV. Provider business mailing address

17921 NW 48TH PL
MIAMI GARDENS FL
33055-3217
US

V. Phone/Fax

Practice location:
  • Phone: 786-337-1406
  • Fax:
Mailing address:
  • Phone: 786-337-1406
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: