Provider Demographics
NPI:1922715978
Name:CACERES DE ARMAS, LUIS ALAIN (F10221382)
Entity type:Individual
Prefix:
First Name:LUIS
Middle Name:ALAIN
Last Name:CACERES DE ARMAS
Suffix:
Gender:M
Credentials:F10221382
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8002 SW 149TH AVE APT B104
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33193-1462
Mailing Address - Country:US
Mailing Address - Phone:786-326-8723
Mailing Address - Fax:305-747-7166
Practice Address - Street 1:15190 SW 136TH ST STE 27
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33196-2618
Practice Address - Country:US
Practice Address - Phone:786-701-3109
Practice Address - Fax:305-747-7166
Is Sole Proprietor?:No
Enumeration Date:2022-10-31
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLAPRN11022813207QA0505X, 363LP2300X
FLF10221382363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult Medicine
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily