Provider Demographics
NPI:1639983554
Name:MEJIA CALDERON, JAIME ARTURO
Entity type:Individual
Prefix:
First Name:JAIME
Middle Name:ARTURO
Last Name:MEJIA CALDERON
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6861 SW 44TH ST APT 310
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-4896
Mailing Address - Country:US
Mailing Address - Phone:786-944-6660
Mailing Address - Fax:
Practice Address - Street 1:6861 SW 44TH ST APT 310
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-4896
Practice Address - Country:US
Practice Address - Phone:786-944-6660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-03
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator