Juan Carlos Carballo, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

33195 Issued in PR

Practice address

413 Calle Reina Isabel
Guaynabo, PR 00969-3342

Phone

(787) 485-0974

NPI assigned

Mar 6, 2018

Last updated

Mar 6, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

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.

Enrollment records 1

Specialty

Pathology

Education

Ponce School of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hato Rey Pathology Associates IncGroup PAC ID 6608959804, 21 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Presbyterian Community Hospital Hospital, San Juan, PR, CCN 400001
• Hospital Pavia Santurce Hospital, San Juan, PR, CCN 400019
• Hospital Pavia Caguas Hospital, Caguas, PR, CCN 400120
• Hospital Centro Comprensivo del Cancer Hospital, San Juan, PR, CCN 400135

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hato Rey Pathology Associates Inc

  dba HRP Labs

  • Clinical Medical Laboratory
  • San Juan, PR
  • NPI 1740460583
  Medicare reassignment Care Compare group NPD
• Hato Rey Pathology Associates,PSC

  • Clinical Medical Laboratory
  • San Juan, PR
  • NPI 1568640449
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Centro de Cancer de la Universidad

  • Special Hospital
  • San Juan, PR
  • NPI 1003366527
  Care Compare affiliation
• Metro Caguas Incorporated

  • General Acute Care Hospital
  • Caguas, PR
  • NPI 1467234039
  Care Compare affiliation
• Metro Santurce, Inc.

  dba Hospital Pavia Santurce

  • General Acute Care Hospital
  • San Juan, PR
  • NPI 1467417865
  Care Compare affiliation
• Presbyterian Community Hospital, Inc

  dba Ashford Presbyterian Community Hospital

  • General Acute Care Hospital
  • San Juan, PR
  • NPI 1770580813
  Care Compare affiliation

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

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520294400000",
    "number": "1144722117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 CALLE REINA ISABEL",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009693342",
            "telephone_number": "787-485-0974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 CALLE REINA ISABEL",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009693342",
            "telephone_number": "787-485-0974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBALLO",
        "first_name": "JUAN",
        "middle_name": "CARLOS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-06",
        "last_updated": "2018-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "PR",
            "license": "33195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arturo Caraballo Morales, 1657P
• Michael Caraballo Salcedo, 0506P
• Maria Caraballo, RPH
• Carlos Carattini Rivera, 1636P
• Jorge Carballido
• Carcache Gynecology
• Maria B Cardin Ramirez, 1279P
• Cardinal Health P.R 120
• Cardiolife Studies Corp.
• Rafael F Cardona Duran, M.D.

• Anatomic Pathology & Clinical Pathology Physician in Guaynabo, PR
• Providers in Guaynabo, PR by specialty
• Anatomic Pathology & Clinical Pathology Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.