Hector Caballero, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Fargo, ND
NPI 1073254264 · NPPES record last updated Jun 12, 2023
Key facts
- NPI
- 1073254264
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1919 Elm St N
Fargo, ND 58102-2416 - Phone
- (813) 352-8003
- NPI assigned
- Apr 5, 2022
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220701000172 | FL | Order and Referring Only - Internal Medicine |
2163748971 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
1919 Elm St N
Fargo, ND 58102-2416
Mailing address
732 W Deer Lake Dr
Lutz, FL 33548-4270
Phone (813) 352-8003
Other providers in Fargo, ND
- Joseph James Byrne
- Marissa Ann Byrne
- Molly Byrne
- Byrum Cartwright DDS PC
- C & R Quality Living LLC
- Sandra Kay Cadreau
- Brett Jessica Cadwell
- Deena C Caillier
- Rebecca Lee Caillier
- Jordan Cain
All providers in Fargo, ND · Student in an Organized Health Care Education/Training Program in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.