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RAYDEL CALA SAN JORGE MD
NPI 1053104422
Student in an Organized Health Care Education/Training Program in Daytona Beach, FL

Active since May 27, 2025
150 MAGNOLIA AVE, DAYTONA BEACH, FL 32114(386) 236-3183 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Raydel Cala San Jorge Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAYDEL CALA SAN JORGE MD (NPI 1053104422) is an individual student in an organized health care education/training program in Daytona Beach, Florida and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1053104422
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameRAYDEL CALA SAN JORGECredential: MD
Location Address150 MAGNOLIA AVEDaytona Beach, FL 32114-4304
Mailing Address4112 Windtree DrTampa, FL 33624-1219 · (813) 278-9431
Phone(386) 236-3183
Sole ProprietorYes
Enumeration DateMay 27, 2025
NPPES CertifiedMay 27, 2025
✔ NPI 1053104422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
150 MAGNOLIA AVE, Daytona Beach, FL 32114
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEMIMAH AKINYI OKONJO MD
Student in an Organized Health Care Education/Training Program
150 MAGNOLIA AVE
DAYTONA BEACH, FL 32114
Volusia County (386) 254-1131
DR. YUSEF ANTONIO CANAAN M.D.
Psychiatry & Neurology (Psychiatry)
150 MAGNOLIA AVE
DAYTONA BEACH, FL 32114
Volusia County (386) 236-3215
GURNINDERJEET SINGH SATHI
Student in an Organized Health Care Education/Training Program
150 MAGNOLIA AVE
DAYTONA BEACH, FL 32114
Volusia County (386) 290-4282

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Raydel Cala San Jorge's NPI number?

The NPI number for Raydel Cala San Jorge is 1053104422. It was assigned to this individual provider in the NPPES registry on May 27, 2025.

Where is Raydel Cala San Jorge located?

Raydel Cala San Jorge practices at 150 Magnolia Ave, Daytona Beach, FL 32114. The listed phone number is (386) 236-3183.

What is Raydel Cala San Jorge's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Raydel Cala San Jorge was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.