Willie Cacho, M.D., MBA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

39402 Issued in NC

Practice address

CG-1122 Uscg CMDT
2100 2ND St., SW, Suite 5314
Washington, DC 20593-0001

Phone

(305) 535-4535

Fax

(305) 535-4413

NPI assigned

Dec 19, 2005

Last updated

Apr 22, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Business Administration, Doctor of Medicine

State licenses

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461283200000",
    "number": "1861478141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MACARTHUR CSWY",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331395101",
            "telephone_number": "305-535-4535",
            "fax_number": "305-535-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CG-1122 USCG CMDT",
            "address_2": "2100 2ND ST., SW, SUITE 5314",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "205930001",
            "telephone_number": "305-535-4535",
            "fax_number": "305-535-4413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACHO",
        "first_name": "WILLIE",
        "name_prefix": "Dr.",
        "credential": "M.D., MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-19",
        "last_updated": "2016-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "08009",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "39402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "20633",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebelin Herrera Cabusao
• Maria Cacciapuoti
• Tracey Lyon Cacciatore, M.D.
• Carla Caceres
• Andrew Cacho, LGSW
• Salam Cadambi, RDN
• Jerry Cade
• Keale Lychell Cade, MD
• Jacqueline Cadena, NP
• Marilyne Cadieux, DO

• Family Medicine Physician in Washington, DC
• Providers in Washington, DC by specialty
• Family Medicine Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2016; 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.