Healthcare Provider Details

I. General information

NPI: 1144154600
Provider Name (Legal Business Name): IRIA CACHEIRO DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6455 N WICKHAM RD UNIT 103
MELBOURNE FL
32940-2074
US

IV. Provider business mailing address

3532 FINCH DR
MELBOURNE FL
32935-4786
US

V. Phone/Fax

Practice location:
  • Phone: 321-420-4142
  • Fax:
Mailing address:
  • Phone: 772-453-8156
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN31715
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: