Lourdes Carballo-Rivera, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

3886 Issued in PR

Practice address

224 Calle Viena
Urb. College Park 4
San Juan, PR 00921-4804

Phone

(787) 758-0898

NPI assigned

May 1, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 7, 2016 through Jan 7, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453680000000",
    "number": "1124249677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 CALLE VIENA",
            "address_2": "URB. COLLEGE PARK 4",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009214804",
            "telephone_number": "787-758-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 CALLE VIENA",
            "address_2": "URB. COLLEGE PARK 4",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009214804",
            "telephone_number": "787-758-0898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBALLO-RIVERA",
        "first_name": "LOURDES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2016-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "3886",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PR",
            "license": "3886",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nashla N Caraballo, MA
• Nilda Violeta Caraballo, PSY.D.
• Nilka Waleska Caraballo, M.D.
• Khamaly Marie Carattini
• Francisco Carballo-Collazo, MD
• Cesar Manuel Carballo, M.D.
• Gabriela Nichole Carbonell Ramirez
• Alba Iris Carbonell, LND
• Miguel Alexis Carbonell, DC
• Marta Carcana, R.N.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.