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General NPI Number Information
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NPI Number | 1922715978
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Entity Type | Individual
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Provider Name | LUIS ALAIN CACERES DE ARMAS F10221382
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Gender | Male
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Dates
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Enumeration Date | 10/31/2022
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 15190 SW 136TH ST STE 27
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City | MIAMI
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State | FL
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Zip | 33196-2618
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Country | US
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Telephone | 786-701-3109
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Fax | 305-747-7166
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Provider Business Mailing Address
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Address Line | 8002 SW 149TH AVE APT B104
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City | MIAMI
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State | FL
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Zip | 33193-1462
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Country | US
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Telephone | 786-326-8723
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Fax | 305-747-7166
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | APRN11022813
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F10221382
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number | APRN11022813
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License Number State | FL
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