Active NPI
Rafael R Caceres Jr., CEO BBA, RPT
- Pharmacy Technician
- Brandon, FL
National Provider Identifier
1396413621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- RPT18988
- Practice address
- 207 E Robertson St Ste B
Brandon, FL 33511-5254 - Phone
- (813) 781-0250
- Fax
- (813) 681-6570
- NPI assigned
- Sep 1, 2021
- 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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | RPT18988 | FL | Primary |
Addresses
Primary practice location
207 E Robertson St Ste B
Brandon, FL 33511-5254
Mailing address
207 E Robertson St Ste B
Brandon, FL 33511-5254
Phone (813) 781-0250
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003977800 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rafael@lifesaverx.com | Direct |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RPT18988 | FL | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Saverx | Current | Accepting new patients |
Locations
207 E Robertson St
Ste B
Brandon, FL 33511
Phone (813) 781-0250
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630454400000",
"number": "1396413621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 E ROBERTSON ST STE B",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115254",
"telephone_number": "813-781-0250",
"fax_number": "813-681-6570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 E ROBERTSON ST STE B",
"city": "BRANDON",
"state": "FL",
"postal_code": "335115254",
"telephone_number": "813-781-0250",
"fax_number": "813-681-6570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CACERES",
"first_name": "RAFAEL",
"middle_name": "R",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "CEO BBA, RPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-09-01",
"last_updated": "2021-09-01",
"certification_date": "2021-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pharmacy Technician",
"state": "FL",
"license": "RPT18988",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003977800",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rafael@lifesaverx.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "207 E Robertson St Ste B",
"city": "Brandon",
"state": "FL",
"country_code": "US",
"postal_code": "335115254",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.