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NPI Code Detail

MEDICARE: MIGUEL CACHU

MEDICARE:   MIGUEL  CACHU
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
11223G0001XGeneral Practice Dentistry1000267CA

General Provider Information

NPI Number : 1124203039
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIGUEL CACHU
Provider Business Mailing Address
First Line : PO BOX 432361
Second Line :
City : SAN YSIDRO
State : CA
Zip : 92143-2361
Country : US
Telephone Number : 619-822-2433
Fax Number :
Provider Business Practice Location Address
First Line : AVE. MADERO #1880
Second Line : ZONA CENTRO
City : TIJUANA
State : BAJA CALIFORNIA
Zip : 22000
Country : MX
Telephone Number : 619-822-2433
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2008
Last Update Date : 01/09/2008

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Directions to “ MIGUEL CACHU ” Practice Location

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