Healthcare Provider Details

I. General information

NPI: 1639983554
Provider Name (Legal Business Name): JAIME ARTURO MEJIA CALDERON
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/03/2025
Last Update Date: 02/03/2025
Certification Date: 02/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6861 SW 44TH ST APT 310
MIAMI FL
33155-4896
US

IV. Provider business mailing address

6861 SW 44TH ST APT 310
MIAMI FL
33155-4896
US

V. Phone/Fax

Practice location:
  • Phone: 786-944-6660
  • Fax:
Mailing address:
  • Phone: 786-944-6660
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: