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NPI Code Detail

MEDICARE: HUMBERTO CALERO MD

MEDICARE: HUMBERTO CALERO MD
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
1390200000XStudent in an Organized Health Care Education/Training Program
2207RE0101XEndocrinology, Diabetes & Metabolism Physician01090211AIN

General Provider Information

NPI Number : 1578068839
Entity Type Code : Individual
Provider Name (Legal Business Name) : HUMBERTO CALERO MD
Provider Business Mailing Address
First Line : 8558 BROADWAY
Second Line :
City : MERRILLVILLE
State : IN
Zip : 46410-7032
Country : US
Telephone Number : 219-392-7084
Fax Number : 219-703-6854
Provider Business Practice Location Address
First Line : 100 W CHICAGO AVE STE F
Second Line :
City : EAST CHICAGO
State : IN
Zip : 46312-3261
Country : US
Telephone Number : 219-392-7016
Fax Number : 219-397-6904
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2018
Last Update Date : 07/05/2023

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Directions to “ HUMBERTO CALERO MD” Practice Location

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