Organization Active NPI

Centro Medicina Preventiva Dr. Baruch Caballero Valiente

  • Cardiovascular Disease Physician
  • San Juan, PR
National Provider Identifier
1205139722
Registry record updated Dec 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
6689 Issued in PR
Legal business name
CENTRO MEDICINA PREVENTIVA DR. BARUCH CABALLERO VALIENTE
Practice address
Edificio Chevere Avenida Jose de Diego
Oficina 204 Pda 22 Num 328
San Juan, PR 00901
Phone
(787) 200-5414
NPI assigned
Dec 7, 2010
Last updated
Dec 7, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2010

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

Authorized official

Name
Dr. Baeuch Caballero, M.D.
Title
Director
Phone
(787) 200-5414

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 6689 PR Primary

Addresses

Primary practice location

Edificio Chevere Avenida Jose de Diego
Oficina 204 Pda 22 Num 328
San Juan, PR 00901

Mailing address

PO Box 79061
Carolina, PR 00984-9061
Phone (787) 200-5414

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1291680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291680000000",
    "number": "1205139722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 79061",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009849061",
            "telephone_number": "787-200-5414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "EDIFICIO CHEVERE AVENIDA JOSE DE DIEGO",
            "address_2": "OFICINA 204 PDA 22 NUM 328",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00901",
            "telephone_number": "787-200-5414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO MEDICINA PREVENTIVA DR. BARUCH CABALLERO VALIENTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-07",
        "last_updated": "2010-12-07",
        "status": "A",
        "authorized_official_last_name": "CABALLERO",
        "authorized_official_first_name": "BAEUCH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "787-200-5414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "6689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.