Doctor Name: | MR. LUIS E CALDERON |
NPI Number: | 1194090738 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CRTS |
License Number: | |
Business Practice Address: | 517 S Nebraska Ave San Juan, TX - 785892645 |
Business Phone Number: | 9562837333 |
Business Fax Number: | 9562837324 |
Mailing Address: | 818 E Eller Ave, PHARR |
State: | TX |
Postal Code: | 785773304 |
Phone Number: | 9568212540 |
Fax Number: | 9562837324 |
NPI Enumeration Date: | 03/15/2012 |
NPI Last Update Date: | 03/15/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |