Caceres, Juan Fernando

Caceres, Juan Fernando is an sole proprietor health care provider with primary practice located at 5920 Saratoga Blvd Suite 160, Corpus Christi TX 78414-4103. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Caceres, Juan Fernando can be contacted via phone (361) 985-8884.

Contact Information

Primary practice address
5920 Saratoga Blvd Suite 160 Corpus Christi TX 78414-4103
Fax: (361) 985-9935
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X F8817 Texas

Profile Details

NPI number 1154305902
LBN Legal business name Caceres, Juan Fernando
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2005
Last updated Jul 9th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154305902 NPPES
Texas Other 2320788 AETNA INSURANCE COMPANY
Texas MEDICAID 127431803 AETNA INSURANCE COMPANY
Texas Other 0017CL AETNA INSURANCE COMPANY

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