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NPI Code Detail

MEDICARE: JORGE A CACERES M.D.

MEDICARE: JORGE A 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
12081P2900XPain Medicine (Physical Medicine & Rehabilitation) Physician23756PR

General Provider Information

NPI Number : 1871942722
Entity Type Code : Individual
Provider Name (Legal Business Name) : JORGE A CACERES M.D.
Provider Business Mailing Address
First Line : 301 14TH AVE SW
Second Line : APT 343
City : ROCHESTER
State : MN
Zip : 55902-1978
Country : US
Telephone Number : 939-218-0172
Fax Number :
Provider Business Practice Location Address
First Line : 1395 CALLE SAN RAFAEL
Second Line :
City : SAN JUAN
State : PR
Zip : 00909-2518
Country : US
Telephone Number : 787-766-7070
Fax Number : 305-355-2424
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/10/2016
Last Update Date : 09/10/2024

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Directions to “ JORGE A CACERES M.D.” Practice Location

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