Healthcare Provider Details

I. General information

NPI: 1225248537
Provider Name (Legal Business Name): ALFREDO GARCIA MD & LIILIANA CACERES MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 05/16/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

363 E ALMOND AVE STE 105
MADERA CA
93637-5752
US

IV. Provider business mailing address

9848 N SEDONA CIR
FRESNO CA
93720-5405
US

V. Phone/Fax

Practice location:
  • Phone: 559-673-6085
  • Fax: 559-673-6087
Mailing address:
  • Phone: 559-673-6085
  • Fax: 559-673-6087

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. LILIANA EDITH CACERES
Title or Position: PARTNER
Credential: MD
Phone: 559-673-6085