Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JUAN LUIS CALDERON, STL, LMT
Active Sole ProprietorMR. JUAN LUIS CALDERON, STL, LMT is a 374K00000X healthcare provider located in WEST NEW YORK, New Jersey. NPI 1245724145 is currently active in the NPPES registry. Verify at CMS.
374K00000X · WEST NEW YORK, NJ
Registration Details
- NPI Number
- 1245724145
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 14, 2018 (8.124025882297 yrs)
- Last Updated
- Jun 14, 2018
- License
-
18KT01274200 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6002 WASHINGTON STWEST NEW YORK, NJ, 070931420Browse NJ providers · Browse ZIP 07093
- Phone
- 2014014204
- Primary Specialty
-
374K00000X
374K00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.