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NPI Code Detail

MEDICARE: DR. HUMBERTO JOSE CALDERA M.D.

MEDICARE: DR. HUMBERTO JOSE CALDERA M.D.
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
1207R00000XInternal Medicine PhysicianME78029FL
2207RH0003XHematology & Oncology PhysicianME78029FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2ME78029OTHERFLLICENSE

General Provider Information

NPI Number : 1891749164
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HUMBERTO JOSE CALDERA M.D.
Provider Business Mailing Address
First Line : 3450 LANTANA RD
Second Line : SUITE 100
City : LAKE WORTH
State : FL
Zip : 33462-1329
Country : US
Telephone Number : 561-965-1864
Fax Number : 561-967-5005
Provider Business Practice Location Address
First Line : 3450 LANTANA RD
Second Line : SUITE 100
City : LAKE WORTH
State : FL
Zip : 33462-1329
Country : US
Telephone Number : 561-965-1864
Fax Number : 561-967-5005
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2006
Last Update Date : 11/04/2010

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