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Contact Information

CAESAR S DIVINO, DPM
2200 FORT ROOTS DR BLDG 661
NORTH LITTLE ROCK, AR72114-1709
 Phone: 501-257-3474
 Fax: 501-257-3773
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for CAESAR S DIVINO · (Male)

NPI Number 1750312369
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 07/05/2006
Last updated 04/03/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • AR License # 164
  • AR Medicaid 145589748
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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