Provider Demographics
NPI:1851524953
Name:CABALLERO, JAIME ALEXANDER (MD)
Entity Type:Individual
Prefix:
First Name:JAIME
Middle Name:ALEXANDER
Last Name:CABALLERO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6006 49TH ST N STE 200
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33709-2149
Mailing Address - Country:US
Mailing Address - Phone:727-490-2100
Mailing Address - Fax:855-222-3965
Practice Address - Street 1:2727 W DR MARTIN LUTHER KING JR BLVD STE 800
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-6065
Practice Address - Country:US
Practice Address - Phone:873-813-0000
Practice Address - Fax:813-873-3659
Is Sole Proprietor?:No
Enumeration Date:2009-08-24
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME-128468207RC0000X
FLME128468207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease