Organization Active NPI

Luis R Caceres DO

  • Clinic/Center
  • Miami, FL
National Provider Identifier
1679596944
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
582702-8 Issued in FL
Legal business name
LUIS R CACERES DO
Practice address
9260 SW 72ND St
Suite 115
Miami, FL 33173-3275
Phone
(305) 271-8383
Fax
(305) 271-8448
NPI assigned
Jul 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Luis R CaceresNPI 1528053063
Title
Owner/Physician
Phone
(305) 271-8383

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
Clinic/Center 261Q00000X 582702-8 FL Primary

Addresses

Primary practice location

9260 SW 72ND St
Suite 115
Miami, FL 33173-3275

Mailing address

9260 SW 72ND St
Suite 115
Miami, FL 33173-3275
Phone (305) 271-8383

Other identifiers 1

IdentifierTypeStateIssuer
58965OtherFLBCBS NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Luis R Caceres DO2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9260 SW 72nd St
Ste 115
Miami, FL 33173
Phone (305) 271-8383

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": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679596944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9260 SW 72ND ST",
            "address_2": "SUITE 115",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733275",
            "telephone_number": "305-271-8383",
            "fax_number": "305-271-8448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9260 SW 72ND ST",
            "address_2": "SUITE 115",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331733275",
            "telephone_number": "305-271-8383",
            "fax_number": "305-271-8448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS R CACERES DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CACERES",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "305-271-8383"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "582702-8",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NUMBER",
            "identifier": "58965",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.