Sindia Odette Alvarado Caraballo
Individual provider Active NPI Public Health & General Preventive Medicine Physician · Ponce, PR
NPI 1285380600 · NPPES record last updated Oct 24, 2022
Key facts
- NPI
- 1285380600
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Public Health & General Preventive Medicine Physician 2083P0901X
- License
- 22620 (PR)
- Practice address
- Metro Pavia Clinic - Ponce
1943 Marina
Ponce, PR 00717 - Phone
- (787) 635-8264
- NPI assigned
- Feb 24, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221201000087 | PR | Practitioner - General Practice | 0042688749 |
Reassigns benefits to 1 organization Practice locations: Guayama, PR; Ponce, PR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrate Community Health System | Current |
Accepting new patients | |
| Integrate Community Health System, Inc. | Current |
Accepting new patients | |
| Integrate Community Health System | Current | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician | 2083P0901X | 22620 | PR | Yes |
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
Other providers in Ponce, PR
- Crystal Rose Almond
- Also OB-GYN PSC
- Pierre E Altieri
- Andrea Nicole Alvalle Santiago
- Kevin J Alvarado Acevedo
- Nicole Marie Alvarado Delgado
- Gilberto J Alvarado Diaz
- Hctor M. Alvarado Hoyos
- Evangimel Alvarado Miranda
- Daniel Alejandro Alvarado Nazario
All providers in Ponce, PR · Public Health & General Preventive Medicine Physician in Puerto Rico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.