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NPI Code Detail

MEDICARE: MILAGROS CACERES

MEDICARE: MILAGROS CACERES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist681-154WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083779607
Entity Type Code : Individual
Provider Name (Legal Business Name) : MILAGROS CACERES
Provider Business Mailing Address
First Line : PO BOX 170441
Second Line :
City : MILWAUKEE
State : WI
Zip : 53217-8036
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12600 PT. WASHINGTON RD
Second Line : NEWCASTLE PLACE
City : MEQUON
State : WI
Zip : 53092-3469
Country : US
Telephone Number : 262-387-8800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/26/2006
Last Update Date : 07/09/2007

Similar Medicare Providers

1093799272 — NEWCASTLE PLACE, INC.
Practice Location Address:
12600 N PORT WASHINGTON RD , #100
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1073567004 — MRS. SANDRA PACL P.T.
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1578587689 — MRS. KIMBERLY WEBER MILLER PT
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1184721615 — NEWCASTLE PLACE INC PHARMACY
Practice Location Address:
12600 N PORT WASHINGTON RD
MEQUON, WI
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Practice Fax: 262-387-8829
1861727729 — AMY K KESTNER PT
Practice Location Address:
12600 N PORT WASHINGTON RD
MEQUON, WI
53092-3469
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Practice Fax:
1184973588 — NEWCASTLE SENIOR CARE, LLC
Practice Location Address:
12600 N PORT WASHINGTON RD
MEQUON, WI
53092-3469
Practice Phone: 262-387-8800
Practice Fax: 262-387-8994

Directions to “ MILAGROS CACERES ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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