Provider Demographics
NPI:1164461208
Name:ZENO CALERO, GLORIA E (MD)
Entity type:Individual
Prefix:MRS
First Name:GLORIA
Middle Name:E
Last Name:ZENO CALERO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:GLORIA
Other - Middle Name:E
Other - Last Name:ZENO CALERO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 1076
Mailing Address - Street 2:
Mailing Address - City:AGUADA
Mailing Address - State:PR
Mailing Address - Zip Code:00602-1076
Mailing Address - Country:US
Mailing Address - Phone:787-868-6108
Mailing Address - Fax:787-252-4095
Practice Address - Street 1:CALLE COLON
Practice Address - Street 2:
Practice Address - City:AGUADA
Practice Address - State:PR
Practice Address - Zip Code:00602-3166
Practice Address - Country:US
Practice Address - Phone:787-868-6108
Practice Address - Fax:787-252-4095
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2010-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR8488207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PR80580Medicare ID - Type Unspecified
PRC77766Medicare UPIN