Provider Demographics
NPI:1760489850
Name:CALERO, JUAN P (MD)
Entity Type:Individual
Prefix:
First Name:JUAN
Middle Name:P
Last Name:CALERO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2121 PEASE ST
Mailing Address - Street 2:STE 304
Mailing Address - City:HARLINGEN
Mailing Address - State:TX
Mailing Address - Zip Code:78550-8348
Mailing Address - Country:US
Mailing Address - Phone:956-389-5864
Mailing Address - Fax:956-389-5073
Practice Address - Street 1:2121 PEASE ST
Practice Address - Street 2:STE 304
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8348
Practice Address - Country:US
Practice Address - Phone:956-389-5864
Practice Address - Fax:956-389-5073
Is Sole Proprietor?:No
Enumeration Date:2005-07-05
Last Update Date:2012-10-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXL8635207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX165873403Medicaid
TX8J8173Medicare PIN