Josue Jorge Caraballo, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

15568 Issued in PR

Practice address

480 W Lowder St
Macclenny, FL 32063-2664

Phone

(904) 259-6291

Fax

(904) 259-4761

NPI assigned

Apr 25, 2006

Last updated

Mar 12, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Florida Department of Children and Families

  dba Florida State Hospital-Unit 31

  • General Acute Care Hospital
  • Chattahoochee, FL
  • NPI 1710945118
  Medicare reassignment NPD
• Florida Department of Children and Families

  dba Northeast Florida State Hospital

  • Psychiatric Hospital
  • Macclenny, FL
  • NPI 1013931765
  NPD
• JS Home Medical Services

  • Home Health Agency
  • Juana Diaz, PR
  • NPI 1952499535
  NPD (past)

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394582400000",
    "number": "1164488540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 W LOWDER ST",
            "city": "MACCLENNY",
            "state": "FL",
            "postal_code": "320632664",
            "telephone_number": "904-259-6291",
            "fax_number": "904-259-4761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 W LOWDER ST",
            "city": "MACCLENNY",
            "state": "FL",
            "postal_code": "320632664",
            "telephone_number": "904-259-6291",
            "fax_number": "904-259-4761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORGE CARABALLO",
        "first_name": "JOSUE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2014-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "15568",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN275",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JC's Transport Services LLC (Loves Home Care/JCS Transport Services)
• John Assi, MD, PA (Children's Health Associates)
• John Goetze Physical Therapy, Inc
• John J Coleman DPM
• Garri Renee Johns, FNP-BC
• Kelli K Kanemaru-Takeuchi, DDS
• Pushpjeet Singh Kanwar, M.D
• Steve Logan Kish, DPT
• Kla Enterprises, LLC Dba Luxe Health & Wellness
• Kyle Monroe Knabb, DO

• General Practice Physician in Macclenny, FL
• Providers in Macclenny, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.