Medico En Tu Casa

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

17157 Issued in PR

Legal business name

MEDICO EN TU CASA

Practice address

730 Calle Julio Andino
Urb Villa Prades
San Juan, PR 00924-2252

Phone

(787) 550-6747

Fax

(787) 550-6747

NPI assigned

Nov 5, 2014

Last updated

Nov 5, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sammy Caraballo, MD

Title

President

Phone

(787) 550-6747

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415145600000",
    "number": "1013313931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31017",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009292017",
            "telephone_number": "787-550-6747",
            "fax_number": "787-550-6747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 CALLE JULIO ANDINO",
            "address_2": "URB VILLA PRADES",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009242252",
            "telephone_number": "787-550-6747",
            "fax_number": "787-550-6747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICO EN TU CASA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-05",
        "last_updated": "2014-11-05",
        "status": "A",
        "authorized_official_last_name": "CARABALLO",
        "authorized_official_first_name": "SAMMY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "787-550-6747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Transportation Services LLC
• Medical Ultrasound and Research Group, Corp
• Medical Walk in Clinic LLC
• Medicbus, Inc.
• Medicina Interna & Geriatria Dra. Vanessa Sepulveda
• Medico Xpreso Multi Group LLC (Medico Xpreso)
• Medicos de Familia Imf, CSP
• Medicos Especializados de Puerto Rico, PSC (Medicos Especializados de San Juan, PSC)
• Medicos Especializados de San Juan
• Medicos Selectos de P.R. Inc

• General Practice Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; 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.