Individual
DR. JUAN FERNANDO CACERES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5920 SARATOGA BLVD, SUITE 160, CORPUS CHRISTI, TX 78414-4103
(361) 985-8884
(361) 985-9935
Mailing address
5920 SARATOGA BLVD, SUITE 160, CORPUS CHRISTI, TX 78414-4103
(361) 985-8884
(361) 985-9935
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
F8817
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0017CL
BLUE CROSS BLUE SHIELD
—
05
—
127431803
—
TX
01
—
2320788
AETNA INSURANCE COMPANY
TX
Enumeration date
12/05/2005
Last updated
07/09/2010
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