Individual provider Active NPI

Valery Marie Caraballo Rivera, PA

  • Medical Physician Assistant
  • Ponce, PR
National Provider Identifier
1003615485
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2480P.A. Issued in PR
Practice address
450 C. Ferrocarril BLDG
Santa Maria Medical Building Suite 302
Ponce, PR 00731-0000
Phone
(787) 844-6669
NPI assigned
Mar 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2480P.A. PR Primary

Addresses

Primary practice location

450 C. Ferrocarril BLDG
Santa Maria Medical Building Suite 302
Ponce, PR 00731-0000

Mailing address

HC 1 Box 10258
Penuelas, PR 00624-9725
Phone (787) 512-5654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2480P.A.PRMDMedical Physician Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1741564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1003615485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 1 BOX 10258",
            "city": "PENUELAS",
            "state": "PR",
            "postal_code": "006249725",
            "telephone_number": "787-512-5654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 C. FERROCARRIL BLDG",
            "address_2": "SANTA MARIA MEDICAL BUILDING SUITE 302",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007310000",
            "telephone_number": "787-844-6669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARABALLO RIVERA",
        "first_name": "VALERY",
        "middle_name": "MARIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PR",
            "license": "2480P.A.",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.