Calderon Perez, Santiago Willman

Calderon Perez, Santiago Willman is an sole proprietor health care provider with primary practice located at 1668 S Volusia Ave , Orange City FL 32763-7335. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Calderon Perez, Santiago Willman can be contacted via phone (386) 775-1175.

Contact Information

Primary practice address
1668 S Volusia Ave Orange City FL 32763-7335
Phone: (386) 775-1175
Fax: (321) 256-1547
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME 70874 Florida
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X ME 70874 Florida

Profile Details

NPI number 1790755759
LBN Legal business name Calderon Perez, Santiago Willman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2006
Last updated May 26th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790755759 NPPES
Florida Other 440001648 RR MEDICARE
Florida Other 000830802 RR MEDICARE
Florida Other 150170 RR MEDICARE
Florida MEDICAID 251036700 RR MEDICARE
Florida Other 13935 RR MEDICARE
Florida Other 31616 RR MEDICARE

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