Organization
ENRIQUE CACERES MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ENRIQUE CACERES MD (PRESIDENT)
(956) 686-6860
Entity
Organization
Contact information
Practice address
4236 N. MCCOLL, SUITE B, MCALLEN, TX 78504-2686
(956) 686-6860
(956) 686-6864
Mailing address
PO BOX 720395, MCALLEN, TX 78504-0395
(956) 686-6860
(956) 686-6864
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
J9990
TX
2080P0208X
Pediatric Infectious Diseases Physician
J9990
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109700100
VALLEY HEALTH PLAN
TX
05
—
142435001
—
TX
05
—
142435002
—
TX
05
—
142435003
—
TX
Enumeration date
05/26/2006
Last updated
04/14/2010
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