Individual provider · Type 1 NPI

Raydel Cala San Jorge, MD

Student in an Organized Health Care Education/Training Program · Daytona Beach, FL

NPI number 1053104422 Active

Practice location

150 Magnolia Ave
Daytona Beach, FL 32114-4304

Call (386) 236-3183 Map

Mailing address

4112 Windtree Dr
Tampa, FL 33624-1219

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3 other providers at this address

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About NPI 1053104422

Raydel Cala San Jorge, MD's National Provider Identifier is 1053104422, issued on May 27, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Daytona Beach, FL. The record was last updated on May 27, 2025.