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Individual

DR. JORGE ALBERTO CACERES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
730 MEMORIAL DR, SUITE 108, BESSEMER, AL 35022-6032
(205) 424-1450
(205) 424-6077
Mailing address
PO BOX 1445, BESSEMER, AL 35021-1445
(205) 424-1450
(205) 424-6077

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
00003878
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51000904
BCBS
AL
01
51076476
BCBS
AL
Enumeration date
07/22/2006
Last updated
03/11/2014
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