| Luis R. Caceres, D.o., P.a. | |
|
9260 Sw 72nd St Suite 115 Miami FL 33173-3275 | |
| (305) 271-8383 | |
| (305) 271-8448 |
| Full Name | Luis R. Caceres, D.o., P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 9260 Sw 72nd St, Miami, Florida |
| Authorized Official Name and Position | Luis R. Caceres (PRESIDENT) |
| Authorized Official Contact | 3052718383 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Luis R. Caceres, D.o., P.a. 9260 Sw 72nd St Suite 115 Miami FL 33173-3275 Ph: (305) 271-8383 | Luis R. Caceres, D.o., P.a. 9260 Sw 72nd St Suite 115 Miami FL 33173-3275 Ph: (305) 271-8383 |
| NPI Number | 1821131509 |
|---|---|
| Provider Enumeration Date | 02/14/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9436181419 |
|---|---|
| Medicare Enrollment ID | O20050910000216 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821131509 | NPI | - | NPPES |
| 1528053063 | Other | FL | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | OS7681 (Florida) | Primary |
| Provider Name | Luis Caceres |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528053063 PECOS PAC ID: 6002897626 Enrollment ID: I20040528000145 |
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