Provider Demographics
NPI:1154214823
Name:CALVIN, ROMEL CHARLES
Entity type:Individual
Prefix:
First Name:ROMEL
Middle Name:CHARLES
Last Name:CALVIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22831 S RECKER RD
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85298-8936
Mailing Address - Country:US
Mailing Address - Phone:480-600-2042
Mailing Address - Fax:
Practice Address - Street 1:22831 S RECKER RD
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85298-8936
Practice Address - Country:US
Practice Address - Phone:480-600-2042
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)