Provider Demographics
NPI:1255610275
Name:CALERO, YAILEN
Entity type:Individual
Prefix:
First Name:YAILEN
Middle Name:
Last Name:CALERO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5201 SW 116TH AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33165-6825
Mailing Address - Country:US
Mailing Address - Phone:786-327-4886
Mailing Address - Fax:
Practice Address - Street 1:326 SW 12TH AVE # A
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33130-2012
Practice Address - Country:US
Practice Address - Phone:305-545-8913
Practice Address - Fax:305-642-7733
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-08
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11024719363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty