MR. JORGE LUIS CACERES JR. (NPI# 1407818586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407818586 |
| Entity Type | Individual |
| Full Name | MR. JORGE LUIS CACERES JR. |
| Credential | PA-C |
| Practice Address |
116 Campus Ave Raeford NC 28376-2606 |
| Mailing Address |
3186 Bittersweet Dr Fayetteville NC 28306-2518 |
| Practice Telephone | 9108759087 |
| Practice Fax Number | 9108754597 |
| Mailing Telephone | 9108759087 |
| Mailing Fax Number | 9108754597 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2010-09-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
NC 102392 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699796938 | Jorge Alberto Caceres | Specialist | 730 Memorial Dr, Suite 108, Bessemer, AL 35022-6032 | 2006-07-22 |
| 1871942722 | Jorge Caceres | Student in an Organized Health Care Education/Training Program | 1611 Nw 12 Avenue, Miami, FL 33136 | 2016-06-10 |
| 1417382094 | Jorge Javier Caceres II | Nurse Practitioner | 801 S Main St, Ste C, Mcallen, TX 78501-5055 | 2013-09-13 |
| 1902142318 | Jorge Bastidas Caceres | Physical Therapist | 2275 S Main St, 102, Corona, CA 92882-5303 | 2012-12-13 |
| Street Address |
116 CAMPUS AVE |
| City | RAEFORD |
| State | NC |
| Zip Code | 28376-2606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598089989 | Jennifer Elizabeth Gaguzis | Social Worker | 116 Campus Ave, Suite. B, Raeford, NC 28376-2647 | 2010-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578185104 | Elite Supply Services, Inc. | Durable Medical Equipment & Medical Supplies | 2148 Bus-us 401, Raeford, NC 28376 | 2020-05-18 |
| 1205485695 | Brenda P Gregorio | Technician | 297 Gregorios Ln, Raeford, NC 28376 | 2019-09-09 |
| 1083197115 | Jennifer Picerno Bowyer | Nurse Practitioner | 929 Prospect Ave., Raeford, NC 28376 | 2018-09-14 |
| 1730694746 | Embassy Health Network | Counselor | 2148 Hwy 401 Business, Raeford, NC 28376 | 2017-12-13 |
| 1508398991 | Rockfish Pharmacy Inc | Pharmacy | 221 Flagstone Lane, Raeford, NC 28376 | 2017-04-03 |
| 1205281235 | William Fiebig | Nurse Practitioner | Hoke Hospital, 210 Medical Pavilion Drive, Raeford, NC 28376 | 2016-04-27 |
| 1306200647 | Tia Hart Community Recovery Program | Community/Behavioral Health | 2188 A Us 401 Business, Raeford, NC 28376 | 2016-04-13 |
| 1508240631 | Integrated Mental Health Services Agency Inc | Community/Behavioral Health | 2188-a Hwy 401 Business, Raeford, NC 28376 | 2015-07-18 |
| 1649658287 | Divine Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 320 Birch St, Raeford, NC 28376 | 2015-05-15 |
| 1992192298 | David Abdulhaqq | Counselor | 225 Aggies Lane, Raeford, NC 28376 | 2015-04-24 |
| Find all providers in zip 28376 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659559276 | Patrick Scott Hurley | Physician Assistant | 6322 Fayetteville Road, Suite A, Raeford, NC 28376-7998 | 2008-02-06 |
| 1659703544 | Kyle Mitchell Le | Physician Assistant | 210 Medical Pavilion Dr, Raeford, NC 28376-9111 | 2013-08-02 |
| 1346578234 | Rebekah B Diky | Physician Assistant | 6322 Fayetteville Rd, Primary Care and Cardiology, Raeford, NC 28376-7979 | 2009-12-03 |
| 1063653251 | James William Shaffer | Physician Assistant | 6322 Fayetteville Rd, Raeford, NC 28376-7979 | 2009-03-17 |
| 1518012145 | Allen Brown Jr. | Physician Assistant | 683 E Palmer Rd, Raeford, NC 28376-6648 | 2007-01-24 |
| 1467518712 | Amy Stewart Mackey | Physician Assistant | 855 Old Nc 211 Hwy, Raeford, NC 28376-5706 | 2006-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403884 | Billy Scott II | Physician Assistant | 3000 Rogers Rd Ste 100, Wake Forest, NC 27587-5745 | 2020-10-05 |
| 1982213765 | Michaela Lynne Mcbride | Physician Assistant | 9541 Kings Parade Blvd Unit 107, Charlotte, NC 28273-5819 | 2020-07-28 |
| 1386260347 | Elizabeth Warrington Maiche | Physician Assistant | 113 Montgomery Dr, Saluda, NC 28773-7787 | 2020-06-24 |
| 1831715663 | John Wheary | Physician Assistant | 3233 Austin Ave, New Bern, NC 28562-7084 | 2020-06-17 |
| 1629692439 | Julie Anne Augustine | Physician Assistant | 718 S Green St, Winston Salem, NC 27101-5112 | 2020-06-08 |
| 1659995710 | Kristopher Neal Priddy | Physician Assistant | 405 Forest Hill Dr, Shelby, NC 28150-5520 | 2020-06-04 |
| 1710500558 | Christian Wright Fulenwider | Physician Assistant | 104 Linden St, Morganton, NC 28655-3788 | 2020-05-27 |
| 1366065500 | Lisa Lynn Carder | Physician Assistant | 904 Foxcroft Cir Apt D, Shelby, NC 28152-6868 | 2020-05-22 |
| 1982234282 | Brandon Sorkin | Physician Assistant | 280 Executive Park Drive, Suite 100, Concord, NC 28025-2802 | 2020-01-25 |
| 1245860618 | Robert Maughan | Physician Assistant | 129 Bryce Creek Ln, Fayetteville, NC 28303-4981 | 2020-01-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.