Active NPI
Valery Marie Caraballo Rivera, PA
- Medical Physician Assistant
- Ponce, PR
National Provider Identifier
1003615485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 2480P.A.
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2480P.A. | PR | MD | Medical 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
- Gabriela Ivette Cappiello Aviles, MD
- Lupita Lyn Caquias
- Yeidi D Caraballo Maldonado, PHL
- Glenda Caraballo Ortiz
- Emmanuelle Jose Caraballo Rivera, M.SC.
- Carmen B Caraballo Rodriguez
- Ariana Carolina Caraballo Soler
- Johnathan Alexander Caraballo Solis, MD
- Nilsa Caraballo Torres, PHARMACY TECHNICIAN
- Daniel Caraballo-Burgos, OD
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.