Provider Demographics
NPI:1972714319
Name:CALDERON, JULIO GONZALEZ (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIO
Middle Name:GONZALEZ
Last Name:CALDERON
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:PO BOX 940250
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33194-0250
Mailing Address - Country:US
Mailing Address - Phone:305-275-5515
Mailing Address - Fax:305-275-5535
Practice Address - Street 1:9480 SW 77TH AVE
Practice Address - Street 2:203
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-7903
Practice Address - Country:US
Practice Address - Phone:305-275-5515
Practice Address - Fax:305-275-5535
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME 731822084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry