Provider Demographics
NPI:1760358626
Name:DURAN CALDERON, ROSA ALBANIA I
Entity type:Individual
Prefix:
First Name:ROSA
Middle Name:ALBANIA
Last Name:DURAN CALDERON
Suffix:I
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CALLE 63 VILLA CAROLINA
Mailing Address - Street 2:123-6
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00985-5309
Mailing Address - Country:US
Mailing Address - Phone:787-603-4330
Mailing Address - Fax:
Practice Address - Street 1:CALLE 63 VILLA CAROLINA
Practice Address - Street 2:123-6
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00985-5309
Practice Address - Country:US
Practice Address - Phone:787-603-4330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-16
Last Update Date:2025-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR4404163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral PracticeGroup - Single Specialty