Individual
DR. JOSE DIEGO CACERES
Active
Individual
DR. JOSE DIEGO CACERES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
E-11341
AR
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
25MA10100300
NJ
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
E-11341
AR
207RP1001X
Pulmonary Disease Physician
25MA10100300
NJ
207RP1001X
Pulmonary Disease Physician
Primary
E-11341
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C00384106406832
DRIVER LICENSE
NJ
Enumeration date
06/08/2012
Last updated
12/18/2020
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