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Individual

DR. AGUSTIN CABALLERO- PEREZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
DA19 CALLE 167, JARDINES OF COUNTRY CLUB, CAROLINA, PR 00983-2158
(787) 607-5848
Mailing address
6675 WESTWOOD BLVD, STE 475, ORLANDO, FL 32821-6027
(407) 845-0330
(888) 972-1752

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
17642
PR
208D00000X
General Practice Physician
Primary
ACN958
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
17642
PUERTO RICO PHYSCIAN
PR
Enumeration date
07/01/2009
Last updated
10/11/2017
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