Provider Demographics
NPI:1518540111
Name:CALERO, ADRIANA MARCELA
Entity Type:Individual
Prefix:
First Name:ADRIANA
Middle Name:MARCELA
Last Name:CALERO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18233 SW 48TH ST
Mailing Address - Street 2:
Mailing Address - City:SOUTHWEST RANCHES
Mailing Address - State:FL
Mailing Address - Zip Code:33331-1001
Mailing Address - Country:US
Mailing Address - Phone:954-588-4782
Mailing Address - Fax:
Practice Address - Street 1:18233 SW 48TH ST
Practice Address - Street 2:
Practice Address - City:SOUTHWEST RANCHES
Practice Address - State:FL
Practice Address - Zip Code:33331-1001
Practice Address - Country:US
Practice Address - Phone:954-588-4782
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-30
Last Update Date:2021-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist