Caceres, Jose Diego
Caceres, Jose Diego is an individual health care provider with primary practice located at 4301 W Markham Street Pulmonary And Ccm, Slot 555, Little Rock AR 72205. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Caceres, Jose Diego can be contacted via phone (501) 686-5526.Contact Information
Primary practice address
4301 W Markham Street Pulmonary And Ccm, Slot 555
Little Rock AR 72205
Phone: (501) 686-5526
Fax: (501) 686-7893
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | E-11341 | Arkansas |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | E-11341 | Arkansas |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 25MA10100300 | New Jersey |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 25MA10100300 | New Jersey |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | E-11341 | Arkansas |
Profile Details
| NPI number | 1194087965 |
|---|---|
| LBN Legal business name | Caceres, Jose Diego |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2012 |
| Last updated | Dec 18th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194087965 | NPPES |
| New Jersey | Other | C00384106406832 | DRIVER LICENSE |
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