Individual
DR. DIANE E CALDERON-VILLANUEVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OPC 3876
FL
152W00000X
Optometrist
Primary
TUV 006768-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03231078
—
NY
05
—
620967000
—
FL
Enumeration date
02/23/2006
Last updated
10/02/2018
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