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NPI Code Detail

MEDICARE: JUAN B CACERES M.D.

MEDICARE:   JUAN B CACERES  M.D.
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
1207Q00000XFamily Medicine PhysicianME124684FL

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 : 1609993195
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUAN B CACERES M.D.
Provider Business Mailing Address
First Line : 860 NW 42ND AVE FL 5
Second Line :
City : MIAMI
State : FL
Zip : 33126-4172
Country : US
Telephone Number : 305-204-0333
Fax Number : 305-359-7546
Provider Business Practice Location Address
First Line : 1800 N DOUGLAS RD
Second Line :
City : PEMBROKE PINES
State : FL
Zip : 33024-3200
Country : US
Telephone Number : 305-204-0333
Fax Number : 305-359-7546
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2007
Last Update Date : 05/29/2025

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Directions to “ JUAN B CACERES M.D.” Practice Location

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