Provider Demographics
NPI:1598079790
Name:IGNACIO J. CALVO
Entity Type:Organization
Organization Name:IGNACIO J. CALVO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:IGNACIO
Authorized Official - Middle Name:J
Authorized Official - Last Name:CALVO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-856-7411
Mailing Address - Street 1:2451 BRICKELL AVE
Mailing Address - Street 2:22H
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33129-2436
Mailing Address - Country:US
Mailing Address - Phone:305-856-7411
Mailing Address - Fax:305-529-2803
Practice Address - Street 1:1800 SW 27TH AVE
Practice Address - Street 2:SUITE 400
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33145-2457
Practice Address - Country:US
Practice Address - Phone:305-856-7411
Practice Address - Fax:305-529-2803
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-29
Last Update Date:2010-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME55079207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLE21471Medicare UPIN