Provider Demographics
NPI:1831112184
Name:CALPE MEDICAL INC
Entity Type:Organization
Organization Name:CALPE MEDICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:PENALVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-267-8752
Mailing Address - Street 1:7801 CORAL WAY
Mailing Address - Street 2:SUITE 121
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-6538
Mailing Address - Country:US
Mailing Address - Phone:305-267-8752
Mailing Address - Fax:305-265-0298
Practice Address - Street 1:7801 CORAL WAY
Practice Address - Street 2:SUITE 121
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-6538
Practice Address - Country:US
Practice Address - Phone:305-267-8752
Practice Address - Fax:305-265-0298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL39960Medicare ID - Type Unspecified