Provider Demographics
NPI:1548210917
Name:CALLWOOD, LINDA CERINA (MD)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:CERINA
Last Name:CALLWOOD
Suffix:
Gender:F
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:PO BOX 10281
Mailing Address - Street 2:
Mailing Address - City:ST THOMAS
Mailing Address - State:VI
Mailing Address - Zip Code:00801-2617
Mailing Address - Country:US
Mailing Address - Phone:340-715-1000
Mailing Address - Fax:340-715-1003
Practice Address - Street 1:1403 SUGAR ESTATE
Practice Address - Street 2:
Practice Address - City:ST THOMAS
Practice Address - State:VI
Practice Address - Zip Code:00802-2711
Practice Address - Country:US
Practice Address - Phone:340-715-1000
Practice Address - Fax:340-715-1003
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-10
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI1392207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAG19118Medicare UPIN
VI002-7786Medicare PIN