Provider Demographics
NPI:1295161586
Name:ARBONA CALDERON, DAVID ISMAEL (MD)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:ISMAEL
Last Name:ARBONA CALDERON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7009 ALMEDA RD APT 1221
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2181
Mailing Address - Country:US
Mailing Address - Phone:787-312-3473
Mailing Address - Fax:
Practice Address - Street 1:UNC DEPARTMENT OF EMERGENCY 170 MANNING DR
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599
Practice Address - Country:US
Practice Address - Phone:919-843-1400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-19
Last Update Date:2018-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR32,455R207P00000X
NC2016-02569207PE0004X, 207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2016-02569OtherMEDICAL LICENSE
PR32,455ROtherPROVISIONAL LICENSE
NC2016-02569OtherSTATE LICENSE