Janice Caceres, PA

Individual provider Active NPI General Practice Physician · Juncos, PR

NPI 1407504129 · NPPES record last updated Aug 2, 2023

Key facts

NPI
1407504129
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Physician 208D00000X
License
23428 (PR)
Practice address
178 Urb.Paseos Palma Real
Calle Gaviota I-22
Juncos, PR 00777
Phone
(939) 255-4388
NPI assigned
Mar 11, 2022
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine, Physician Assistant

State licenses

LicenseStateTypeSpecialty
23428PRMDGeneral Practice Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 23428 PR Yes

Addresses

Primary practice location

178 Urb.Paseos Palma Real
Calle Gaviota I-22
Juncos, PR 00777

Mailing address

178 Urb.Paseos Palma Real
Calle Gaviota I-22
Juncos, PR 00777
Phone (939) 255-4388

Other providers in Juncos, PR

All providers in Juncos, PR · General Practice Physician in Puerto Rico

Sources for this page

Verify at the official NPI Registry.