Provider Demographics
NPI:1316814395
Name:CALICA, MARIA T (RN)
Entity type:Individual
Prefix:MS
First Name:MARIA
Middle Name:T
Last Name:CALICA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:MA. TERESA
Other - Middle Name:REGADO
Other - Last Name:CAMARADOR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN,BSN
Mailing Address - Street 1:6234 MADELEINE DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-5243
Mailing Address - Country:US
Mailing Address - Phone:210-692-9126
Mailing Address - Fax:
Practice Address - Street 1:7400 MERTON MINTER ST
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-4404
Practice Address - Country:US
Practice Address - Phone:210-617-5300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-22
Last Update Date:2025-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX673370163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse