Individual
MAURICIO H CACERES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11140 MONTGOMERY RD STE 2500, CINCINNATI, OH 45249-2309
(513) 561-7809
(513) 272-4121
Mailing address
11140 MONTGOMERY RD STE 2500, CINCINNATI, OH 45249-2309
(513) 561-7809
(513) 272-4121
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35063946C
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0125135
—
OH
Enumeration date
08/16/2005
Last updated
10/26/2020
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