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Organization
LUIS R. CACERES, D.O., P.A.
Active
Organization
LUIS R. CACERES, D.O., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS R. CACERES III D.O. (PRESIDENT)
(305) 271-8383
Entity
Organization
Contact information
Practice address
9260 SW 72ND ST, SUITE 115, MIAMI, FL 33173-3275
(305) 271-8383
(305) 271-8448
Mailing address
9260 SW 72ND ST, SUITE 115, MIAMI, FL 33173-3275
(305) 271-8383
(305) 271-8448
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS7681
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1528053063
INDIVIDUAL NPI
FL
Enumeration date
02/14/2007
Last updated
08/22/2020
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