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NPI Code Detail

MEDICARE: LUIS MANUEL CALERO GONZALEZ

MEDICARE:   LUIS MANUEL CALERO GONZALEZ
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
1106S00000XBehavior TechnicianRBT-25-416383FL

General Provider Information

NPI Number : 1023987476
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUIS MANUEL CALERO GONZALEZ
Provider Business Mailing Address
First Line : 2238 SHIMMERY LN
Second Line :
City : LANTANA
State : FL
Zip : 33462-6002
Country : US
Telephone Number : 561-846-0851
Fax Number :
Provider Business Practice Location Address
First Line : 4793 N CONGRESS AVE STE 203
Second Line :
City : BOYNTON BEACH
State : FL
Zip : 33426-7937
Country : US
Telephone Number : 561-429-3863
Fax Number : 561-448-6063
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/03/2025
Last Update Date : 04/15/2026

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Directions to “ LUIS MANUEL CALERO GONZALEZ ” Practice Location

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