Healthcare Provider Details

I. General information

NPI: 1669172839
Provider Name (Legal Business Name): CARLOS ENRIQUE CALDERON VALERO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/07/2023
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CENTRO MEDICO MENONITA DE CAYEY
CAYEY PR
00736
US

IV. Provider business mailing address

CENTRO MEDICO MENONITA DE CAYEY
CAYEY PR
00736
US

V. Phone/Fax

Practice location:
  • Phone: 787-535-1001
  • Fax:
Mailing address:
  • Phone: 787-535-1001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: