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NPI Code Detail

MEDICARE: JOSE CACERES BARRIS MD

MEDICARE: JOSE CACERES BARRIS MD
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
1208D00000XGeneral Practice PhysicianACN1574FL

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 : 1184361479
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSE CACERES BARRIS MD
Provider Business Mailing Address
First Line : PO BOX 9308
Second Line :
City : HUMACAO
State : PR
Zip : 00792-9308
Country : US
Telephone Number : 787-245-5209
Fax Number :
Provider Business Practice Location Address
First Line : 1918 BLANDING BLVD
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32210-3202
Country : US
Telephone Number : 904-389-6954
Fax Number : 904-562-3317
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2022
Last Update Date : 10/05/2023

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