Provider Demographics
NPI:1306817861
Name:CACERES, JAIME M (MD)
Entity Type:Individual
Prefix:DR
First Name:JAIME
Middle Name:M
Last Name:CACERES
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7150 W 20TH AVE
Mailing Address - Street 2:SUITE 407
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-5529
Mailing Address - Country:US
Mailing Address - Phone:305-827-2711
Mailing Address - Fax:305-827-2113
Practice Address - Street 1:2001 W 68TH ST
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-1801
Practice Address - Country:US
Practice Address - Phone:305-827-2711
Practice Address - Fax:305-827-2113
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME23477207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL92515OtherB/S FL & HEALTH OPTIONS
FLD79932Medicare UPIN
FL92515OtherB/S FL & HEALTH OPTIONS