Mirta Caraballo

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

Orquidea St Segunda Extension Santa Elena 00656
B3
Guayanilla, PR 00656-0000

Phone

(787) 835-3083

NPI assigned

Aug 2, 2010

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1280707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280707200000",
    "number": "1194039271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ORQUIDEA ST SEGUNDA EXTENSION SANTA ELENA 00656",
            "address_2": "B3",
            "city": "GUAYANILLA",
            "state": "PR",
            "postal_code": "00656",
            "telephone_number": "787-835-3083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ORQUIDEA ST SEGUNDA EXTENSION SANTA ELENA 00656",
            "address_2": "B3",
            "city": "GUAYANILLA",
            "state": "PR",
            "postal_code": "006560000",
            "telephone_number": "787-835-3083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARABALLO",
        "first_name": "MIRTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-02",
        "last_updated": "2010-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isiamara Aviles, MS THL
• Zashira Nicole Broco
• Brenda Joanet Caminero Alvarado, LCSW
• Ada Eilleen Caraballo-Velez, DC
• Alberto Caraballo
• Arielys Casiano Ramos
• Ariel Casiano Sanchez, MD
• Fabiola Andrea Castro Torres
• Even Cedeno Cedeno, MD
• Alex J Cedeno Rodriguez, M.D.

• All providers in Guayanilla, PR
• Addiction (Substance Use Disorder) Counselor in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; 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.