Organization Active NPI

Jenny P Caceres D C P a

  • Chiropractor
  • Coral Gables, FL
National Provider Identifier
1053309690
Registry record updated Aug 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH7629 Issued in FL
Legal business name
JENNY P CACERES D C P A
Practice address
385 Alhambra Cir
Suite # a
Coral Gables, FL 33134-5003
Phone
(305) 648-2502
Fax
(305) 648-2102
NPI assigned
Oct 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jenny P Caceres, D.C., P.A.NPI 1578551115
Title
Owner
Phone
(305) 648-2502

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X CH7629 FL Primary

Addresses

Primary practice location

385 Alhambra Cir
Suite # a
Coral Gables, FL 33134-5003

Mailing address

385 Alhambra Cir
Suite # a
Coral Gables, FL 33134-5003
Phone (305) 648-2502

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040706000037 FL Part B Supplier - Clinic/Group Practice 5395722664 Receives reassigned benefits from 1 practitioner
Practice locations: Coral Gables, FL

National Provider Directory

National Provider Directory

Locations

475 Biltmore Way
Ste 103
Coral Gables, FL 33134
Phone (305) 648-2502

495 Biltmore Way
Ste 302
Coral Gables, FL 33134
Phone (305) 648-2502

385 Alhambra Cir
#A
Coral Gables, FL 33134
Phone (305) 446-0505

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280880000000",
    "number": "1053309690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 ALHAMBRA CIR",
            "address_2": "SUITE # A",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345003",
            "telephone_number": "305-648-2502",
            "fax_number": "305-648-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 ALHAMBRA CIR",
            "address_2": "SUITE # A",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331345003",
            "telephone_number": "305-648-2502",
            "fax_number": "305-648-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNY P CACERES D C P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-07",
        "last_updated": "2010-08-04",
        "status": "A",
        "authorized_official_last_name": "CACERES",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-648-2502",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., P.A."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH7629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.