MEDICARE: DR. JUAN E CALERO PA

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
1	246ZS0410X	Surgical Technologist	03-144	CO
2	246ZC0007X	Surgical Assistant	SA00881	TX
3	363A00000X	Physician Assistant	002833-PA	PR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	SA00881	OTHER	TX	LSA
2	002833-P.A	OTHER	PR	SURGERY

General Provider Information

NPI Number	:	1285787374
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JUAN E CALERO PA

Provider Business Mailing Address
First Line	:	3100 W END AVE STE 800
Second Line	:
City	:	NASHVILLE
State	:	TN
Zip	:	37203-1378
Country	:	US
Telephone Number	:	615-345-5400
Fax Number	:	888-468-6511

Provider Business Practice Location Address
First Line	:	1600 SARNO RD
Second Line	:	SUITE 15
City	:	MELBOURNE
State	:	FL
Zip	:	32935-4938
Country	:	US
Telephone Number	:	800-348-4565
Fax Number	:	888-468-6511

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/19/2007
Last Update Date	:	01/13/2026

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Directions to “ DR. JUAN E CALERO PA” Practice Location

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