Individual
DR. WILLIE CACHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., MBA
Contact information
Practice address
CG-1122 USCG CMDT, 2100 2ND ST., SW, SUITE 5314, WASHINGTON, DC 20593-0001
(305) 535-4535
(305) 535-4413
Mailing address
100 MACARTHUR CSWY, MIAMI BEACH, FL 33139-5101
(305) 535-4535
(305) 535-4413
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
08009
PR
207Q00000X
Family Medicine Physician
Primary
39402
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20633
BCBS
—
Enumeration date
12/19/2005
Last updated
04/22/2016
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