Jennifer Caceres, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME92838 Issued in FL

Practice address

180 JFK Dr
Suite 210
Atlantis, FL 33462-6607

Phone

(561) 548-1540

NPI assigned

Jun 20, 2006

Last updated

Jul 31, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• JFK Internal Medicine Faculty Practice, LLC

  • Specialist
  • Atlantis, FL
  • NPI 1467614651
  NPD (past)

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375228800000",
    "number": "1306881420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 JFK DR",
            "address_2": "SUITE 210",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334626607",
            "telephone_number": "561-548-1540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 JFK DR",
            "address_2": "SUITE 210",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334626607",
            "telephone_number": "561-548-1540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACERES",
        "first_name": "JENNIFER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2013-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME92838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274056700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P0070D543",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alice Burress, ARNP
• Khristoffer A. Bury
• Larry M Bush, M.D.
• Howard Butler, MD
• Washington Cabezas, PA
• Jerry M Cajina, DO
• Gabriel Camilo Lopez, MD
• Saul Canedo, MD
• Carely Transitional Care
• Teresita Maria Casanova, M.D.

• Internal Medicine Physician in Atlantis, FL
• Providers in Atlantis, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.