Provider Demographics
NPI:1417059817
Name:CALUYA, CLARO VALDEZ (MD)
Entity Type:Individual
Prefix:DR
First Name:CLARO
Middle Name:VALDEZ
Last Name:CALUYA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7155 PEARL RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44130-4945
Mailing Address - Country:US
Mailing Address - Phone:440-842-3445
Mailing Address - Fax:440-842-4588
Practice Address - Street 1:7155 PEARL RD
Practice Address - Street 2:SUITE 102
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44130-4945
Practice Address - Country:US
Practice Address - Phone:440-842-3445
Practice Address - Fax:440-842-4588
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35040560174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0339002Medicaid
OHA77843Medicare UPIN
OHCA0453145Medicare ID - Type Unspecified