Active NPIIndividual providerSole proprietor

Ivan Caraballo-Gonzalez, MD

Hospitalist in San Juan, Puerto Rico

NPI Number1124330733
Practice location
10 Calle Casia, San Juan, PR 00921-3200
Fax
787-641-4561
Last updated
July 1, 2016

Ivan Caraballo-Gonzalez is a Hospitalist based in San Juan, PR. Ivan Caraballo-Gonzalez practices in San Juan, PR and has the professional credentials of MD. The NPI Number for Ivan Caraballo-Gonzalez is 1124330733 and holds a License No. 20571 (PR). The current practice location address for Ivan Caraballo-Gonzalez is 10 Calle Casia, San Juan, PR 00921-3200 and can be reached out via phone at 787-641-7582 and via fax at 787-641-4561.

Provider Profile Details

NPI Number
1124330733
Provider Name
Ivan Caraballo-Gonzalez
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
10 Calle Casia, San Juan, PR 00921-3200
Phone Number
787-641-7582
Fax Number
787-641-4561
Primary Taxonomy
Hospitalist · 208M00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 12, 2010
Last Update Date
July 1, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
10 Calle Casia
San Juan, PR 00921-3200
Zip
00921-3200
Phone Number
787-641-7582
Fax Number
787-641-4561
San Juan, PR 00921Get directions →

Provider Business Mailing Address Details

Address
10 Calle Casia
San Juan, PR 00921-3200
City
San Juan
State
PR
Zip
00921-3200
Phone Number
787-362-1654
Fax Number
787-641-4561

License Information

License Number (1)
20571
License State (1)
PR
Taxonomy (1)
Hospitalist · 208M00000X · Primary
License Number (2)
20571
License State (2)
PR
Taxonomy (2)
Internal Medicine · 207R00000X
License Number (3)
20571
License State (3)
PR
Taxonomy (3)
Internal Medicine, Infectious Disease · 207RI0200X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ivan Caraballo-Gonzalez, MD?

The NPI number of Ivan Caraballo-Gonzalez, MD is 1124330733. It was assigned on July 12, 2010 and is currently active in the NPPES registry.

What is the specialty of Ivan Caraballo-Gonzalez, MD?

Ivan Caraballo-Gonzalez, MD is registered under the primary taxonomy Hospitalist (code 208M00000X), licensed in PR under license number 20571.

Where does Ivan Caraballo-Gonzalez, MD practice?

The practice location is 10 Calle Casia, San Juan, PR 00921-3200. The office can be reached at 787-641-7582 (phone) or 787-641-4561 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124330733 directly on the NPPES registry website.

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