Individual
CARMEN ROSA CACERES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SA-C
Contact information
Practice address
10231 SW 16TH ST, MIAMI, FL 33165-7415
(786) 817-5979
Mailing address
10231 SW 16TH ST, MIAMI, FL 33165-7415
(786) 817-5979
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
19-499
FL
246ZC0007X
Surgical Assistant
19-499
—
Other
Enumeration date
12/01/2019
Last updated
12/01/2019
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