Individual
DR. CHRISTIAN HUMBERTO CAICEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 S FRONT ST, HARRISBURG, PA 17101-2010
(717) 988-0000
(717) 782-5716
Mailing address
111 S FRONT ST, HARRISBURG, PA 17101-2010
(717) 988-0000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD422025
PA
207Q00000X
Family Medicine Physician
MD422025
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001523122
HIGHMARK BCBS
PA
05
—
100819690
—
PA
05
—
1008196900001
—
PA
05
—
1008196900003
—
PA
01
—
145886
UNISON
PA
01
—
1533717
GATEWAY
PA
01
—
30024882
KEYSTONE
PA
01
—
50034081
CAPITAL BCBS
PA
01
—
83232
GEISINGER
PA
Enumeration date
11/15/2005
Last updated
01/16/2021
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