Organization
LUIS R CACERES DO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS R CACERES (OWNER/PHYSICIAN)
(305) 271-8383
Entity
Organization
Contact information
Practice address
9260 SW 72ND ST, SUITE 115, MIAMI, FL 33173-3275
(305) 271-8383
(305) 271-8448
Mailing address
9260 SW 72ND ST, SUITE 115, MIAMI, FL 33173-3275
(305) 271-8383
(305) 271-8448
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
582702-8
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58965
BCBS NUMBER
FL
Enumeration date
07/26/2006
Last updated
08/22/2020
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