CACERES SPECIALIZED GYNECOLOGY, LLC
NPI 1073069159
Obstetrics & Gynecology - Gynecology in Kissimmee, FL

Active since August 29, 2016CLIA 10D2133463 · Waiver
1136 CYPRESS GLEN CIR, KISSIMMEE, FL 34741(407) 392-2777(407) 605-5999 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 20, 2017, Aug 29, 2016 (2 updates tracked since 2016).

About Caceres Specialized Gynecology, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CACERES SPECIALIZED GYNECOLOGY, LLC (NPI 1073069159) is a healthcare organization registered as a gynecology in Kissimmee, Florida and active in the NPI registry since August 2016. The organization holds a CLIA Waiver certificate valid through July 12, 2027 and lists Aileen Caceres, President/owner, as its authorized official.

NPPES Registry Identity

NPI1073069159
Entity TypeOrganization
Primary Taxonomy207VG0400X
Legal Business NameCACERES SPECIALIZED GYNECOLOGY, LLC
Location Address1136 CYPRESS GLEN CIRKissimmee, FL 34741-7559
Mailing Address15502 Stoneybrook West Pkwy, Suite 104-241Winter Garden, FL 34787-4767 · (321) 286-6222
Fax(407) 605-5999
Organization SubpartNo
Authorized OfficialAileen CaceresPresident/owner · (321) 286-6222
Enumeration DateAugust 29, 2016
Last NPPES UpdateApril 17, 20252 updates tracked since enumeration
NPPES CertifiedApril 17, 2025
NPI 1073069159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License Licensed in FL · ME98869
Definition

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

1136 CYPRESS GLEN CIR, Kissimmee, FL 34741

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2133463

Caceres Specialized Gynecology · Kissimmee, FL
Active · expires Jul 12, 2027
CLIA Number10D2133463
Laboratory TypePhysician Office
Certificate Effective DateJuly 13, 2025
Certificate Expiration DateJuly 12, 2027
Laboratory DirectorAileen Caceres
Laboratory Phone(407) 392-2777
Laboratory LocationCaceres Specialized Gynecology1136 Cypress Glen Circle, Kissimmee, FL 34741
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
1136 CYPRESS GLEN CIR
KISSIMMEE, FL 34741
Pediatrics
1136 CYPRESS GLEN CIR
KISSIMMEE, FL 34741
Obstetrics & Gynecology (Gynecology)
1136 CYPRESS GLEN CIR
KISSIMMEE, FL 34741
Nurse Practitioner (Family)
1136 CYPRESS GLEN CIR
KISSIMMEE, FL 34741

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Caceres Specialized Gynecology, LLC's NPI number?

The NPI number for Caceres Specialized Gynecology, LLC is 1073069159. It was assigned to this organization in the NPPES registry on August 29, 2016.

Where is Caceres Specialized Gynecology, LLC located?

Caceres Specialized Gynecology, LLC is located at 1136 Cypress Glen Cir, Kissimmee, FL 34741. The listed phone number is (407) 392-2777.

What is Caceres Specialized Gynecology, LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Does Caceres Specialized Gynecology, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2133463) is associated with this NPI, valid through July 12, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Caceres Specialized Gynecology, LLC accept?

Health plans from AvMed list Caceres Specialized Gynecology, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Caceres Specialized Gynecology, LLC was last updated on April 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.