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NPI Code Detail

MEDICARE: ROBERTO CAVALIEROS MD

MEDICARE: ROBERTO CAVALIEROS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology Physician199885NY
2207W00000XOphthalmology Physician230343MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1649289133
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERTO CAVALIEROS MD
Provider Business Mailing Address
First Line : 135 GOLD STAR BLVD
Second Line :
City : WORCESTER
State : MA
Zip : 01606-2738
Country : US
Telephone Number : 508-856-9599
Fax Number : 508-854-4998
Provider Business Practice Location Address
First Line : 135 GOLD STAR BLVD
Second Line :
City : WORCESTER
State : MA
Zip : 01606-2738
Country : US
Telephone Number : 508-856-9599
Fax Number : 508-854-4998
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2006
Last Update Date : 08/24/2015

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Directions to “ ROBERTO CAVALIEROS MD” Practice Location

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