1699500892 NPI number — MRS. AMPARO JUDITH CALDERON SALOM APRN

Table of content: MRS. AMPARO JUDITH CALDERON SALOM APRN (NPI 1699500892)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699500892 NPI number — MRS. AMPARO JUDITH CALDERON SALOM APRN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CALDERON SALOM
Provider First Name:
AMPARO
Provider Middle Name:
JUDITH
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
APRN
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
CALDERON
Provider Other First Name:
AMPARO
Provider Other Middle Name:
JUDITH
Provider Other Name Prefix Text:
MRS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
APRN
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1699500892
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/10/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6101 BLUE LAGOON DR STE 200
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MIAMI
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33126-3168
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
844-630-0700
Provider Business Mailing Address Fax Number:
877-374-1924

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1049 W ORANGE BLOSSOM TRL
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
APOPKA
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
32712-3482
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
407-884-2952
Provider Business Practice Location Address Fax Number:
407-884-9352
Provider Enumeration Date:
09/06/2024

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  APRN11030264 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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