Active NPI
Juan Fernando Caceres, M.D.
- Obstetrics & Gynecology Physician
- Corpus Christi, TX
National Provider Identifier
1154305902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- F8817
- Practice address
- 5920 Saratoga Blvd
Suite 160
Corpus Christi, TX 78414-4103 - Phone
- (361) 985-8884
- Fax
- (361) 985-9935
- NPI assigned
- Dec 5, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | F8817 | TX | Primary |
Addresses
Primary practice location
5920 Saratoga Blvd
Suite 160
Corpus Christi, TX 78414-4103
Mailing address
5920 Saratoga Blvd
Suite 160
Corpus Christi, TX 78414-4103
Phone (361) 985-8884
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2320788 | Other | TX | AETNA INSURANCE COMPANY |
| 127431803 | Medicaid | TX | |
| 0017CL | Other | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F8817 | TX | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Roberto Espada MD PA | Obstetrics & Gynecology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Corpus Christi, TX
- NPI 1225455579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278633600000",
"number": "1154305902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5920 SARATOGA BLVD",
"address_2": "SUITE 160",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784144103",
"telephone_number": "361-985-8884",
"fax_number": "361-985-9935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5920 SARATOGA BLVD",
"address_2": "SUITE 160",
"city": "CORPUS CHRISTI",
"state": "TX",
"postal_code": "784144103",
"telephone_number": "361-985-8884",
"fax_number": "361-985-9935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CACERES",
"first_name": "JUAN",
"middle_name": "FERNANDO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-05",
"last_updated": "2010-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "F8817",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA INSURANCE COMPANY",
"identifier": "2320788",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "127431803",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0017CL",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Corpus Christi, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.