Provider Demographics
NPI:1275642951
Name:CACERES, LILIANA EDITH (MD)
Entity Type:Individual
Prefix:DR
First Name:LILIANA
Middle Name:EDITH
Last Name:CACERES
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:9848 N SEDONA CIR
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-5405
Mailing Address - Country:US
Mailing Address - Phone:559-673-6085
Mailing Address - Fax:559-673-6087
Practice Address - Street 1:363 E ALMOND AVE STE 105
Practice Address - Street 2:
Practice Address - City:MADERA
Practice Address - State:CA
Practice Address - Zip Code:93637-5752
Practice Address - Country:US
Practice Address - Phone:559-673-6085
Practice Address - Fax:559-673-6087
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2011-05-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA068464208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
H82158Medicare UPIN