Individual provider Active NPI

Sindia Odette Alvarado Caraballo

  • Public Health & General Preventive Medicine Physician
  • Ponce, PR
National Provider Identifier
1285380600
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
22620 Issued in PR
Practice address
Metro Pavia Clinic - Ponce
1943 Marina
Ponce, PR 00717
Phone
(787) 635-8264
NPI assigned
Feb 24, 2022
Last updated
Oct 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X 22620 PR Primary

Addresses

Primary practice location

Metro Pavia Clinic - Ponce
1943 Marina
Ponce, PR 00717

Mailing address

306 Bda Caracoles
Penuelas, PR 00624
Phone (787) 635-8264

Other practice location 1

Metro Pavia Clinic - Guayama
Calle Arnaldo Bristol
Guayama, PR 00784
Phone (787) 635-8264

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20221201000087 PR Practitioner - General Practice 0042688749 Reassigns benefits to 1 organization
Practice locations: Guayama, PR; Ponce, PR

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Integrate Community Health System Current Accepting new patients
Integrate Community Health System, Inc. CurrentSince Oct 4, 2024 Accepting new patients
Integrate Community Health System CurrentSince Oct 4, 2024 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1285380600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 BDA CARACOLES",
            "city": "PENUELAS",
            "state": "PR",
            "postal_code": "00624",
            "telephone_number": "787-635-8264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "METRO PAVIA CLINIC - PONCE",
            "address_2": "1943 MARINA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00717",
            "telephone_number": "787-635-8264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Metro Pavia Clinic - Guayama",
            "address_2": "Calle Arnaldo Bristol",
            "address_purpose": "LOCATION",
            "city": "Guayama",
            "state": "PR",
            "postal_code": "00784",
            "country_code": "US",
            "telephone_number": "787-635-8264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALVARADO CARABALLO",
        "first_name": "SINDIA",
        "middle_name": "ODETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "PR",
            "license": "22620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponce, PR

Sources for this page

Verify at the official NPI Registry.