Provider Demographics
NPI:1861632267
Name:CALDERON, CINDY (MD)
Entity Type:Individual
Prefix:DR
First Name:CINDY
Middle Name:
Last Name:CALDERON
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 1:3307 AVE ISLA VERDE APT 1205A
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00979-4969
Mailing Address - Country:US
Mailing Address - Phone:787-667-7348
Mailing Address - Fax:
Practice Address - Street 1:3307 AVE ISLA VERDE APT 1205A
Practice Address - Street 2:
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00979-4969
Practice Address - Country:US
Practice Address - Phone:787-667-7348
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-24
Last Update Date:2009-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8739207U00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No207U00000XAllopathic & Osteopathic PhysiciansNuclear Medicine