Healthcare Provider Details

I. General information

NPI: 1952248841
Provider Name (Legal Business Name): MICAELA CAYETAN DE LAS CASAS ALJOUIN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7031 SW 62ND AVE SOUTH MIAMI
MIAMI FL
33143
US

IV. Provider business mailing address

BLAS CERDENA 112 APT 101 SAN ISIDRO
LIMA PERU
15073
PE

V. Phone/Fax

Practice location:
  • Phone: 305-284-7695
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: