IndividualActive
Juan Portocarrero Caceres, M.D
NPI 1437680972 · Nephrology Physician · Kansas City, KS
Provider details
- NPI number
- 1437680972
- Entity type
- Individual
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D
- Sex
- Male
- Sole proprietor
- No
- License
- 125070123 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
3901 Rainbow Blvd # Ms 3002
Kansas City, KS 66160-2908
Phone: (913) 588-6048
Approximate (ZIP-level) locationGet directions
Mailing address
3901 Rainbow Blvd # Ms 3002
Kansas City, KS 66160-8500
Registry dates
- Enumerated
- 2017-03-26
- Last updated
- 2023-07-11
- Certified
- 2023-07-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.