Organization
JUANITO CAGUIAT JR PHYSICIAN, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUANITO M CAGUIAT JR. MD (PRESIDENT/ OWNER)
(718) 850-1320
Entity
Organization
Contact information
Practice address
9303 90TH AVE FL 1, WOODHAVEN, NY 11421-2751
(718) 850-1320
(718) 850-6087
Mailing address
153 CRESCENT DR, ALBERTSON, NY 11507-1103
(516) 625-2789
(516) 625-2789
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
188263
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01481185
—
NY
01
—
167825
ELDERPLAN
NY
01
—
227600
WELLCARE
NY
01
—
2516088
GHI
NY
01
—
31-00573
UHC
NY
01
—
3943046
AETNA
NY
01
—
4C5829
HEALTHNET
NY
01
—
901231302
AMERICHOICE
NY
01
—
P638639
OXFORD
NY
Enumeration date
09/30/2006
Last updated
07/03/2008
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