Provider Demographics
NPI:1477621233
Name:CALDERON, DIANA MARGARITA (RN)
Entity Type:Individual
Prefix:
First Name:DIANA
Middle Name:MARGARITA
Last Name:CALDERON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15253 SW 141ST ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33196-5019
Mailing Address - Country:US
Mailing Address - Phone:786-287-1019
Mailing Address - Fax:
Practice Address - Street 1:12912 SW 133RD CT STE A
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-5806
Practice Address - Country:US
Practice Address - Phone:305-253-3324
Practice Address - Fax:305-253-3087
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN3374572163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse