Provider Demographics
NPI:1417129347
Name:CAICEDO OQUENDO, LUIS FRANCISCO (MD)
Entity Type:Individual
Prefix:
First Name:LUIS
Middle Name:FRANCISCO
Last Name:CAICEDO OQUENDO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3915 BISCAYNE BLVD
Mailing Address - Street 2:SUITE 314
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33137-3779
Mailing Address - Country:US
Mailing Address - Phone:305-571-8739
Mailing Address - Fax:305-571-8706
Practice Address - Street 1:3915 BISCAYNE BLVD
Practice Address - Street 2:SUITE 314
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33137-3779
Practice Address - Country:US
Practice Address - Phone:305-571-8739
Practice Address - Fax:305-571-8706
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-01
Last Update Date:2017-01-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD00673012080P0206X
FLME1120352080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology