=====================================================
General NPI Number Information
=====================================================
NPI Number | 1316925605
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MARIA ESPERANZA CACERES MD
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/06/2006
-----------------------------------------------------
Last Update Date | 02/06/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3629 JUNIPER LN
-----------------------------------------------------
City | DAVIE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33330-1357
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 304-541-2704
-----------------------------------------------------
Fax | 801-720-7575
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3629 JUNIPER LN
-----------------------------------------------------
City | DAVIE
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33330-1357
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-774-3803
-----------------------------------------------------
Fax | 801-720-7575
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 208000000X
-----------------------------------------------------
Taxonomy Name | Pediatrics Physician
-----------------------------------------------------
License Number | ME80565
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------