Individual
MARIO GARCIA CACERES I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
310 SW 34TH AVE, MIAMI, FL 33135-2522
(786) 306-0927
Mailing address
310 SW 34TH AVE, MIAMI, FL 33135-2522
(786) 306-0927
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN25087
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7863060927
7863060927
—
Enumeration date
07/01/2020
Last updated
07/01/2020
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