Individual provider Active NPI

Yesenia Perez Caraballo, NURSE

  • Registered Nurse
  • Quebradillas, PR
National Provider Identifier
1295270577
Registry record updated Jan 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
76290G Issued in PR
Practice address
41611 Barrio San Antonio
Sector El Fosforo
Quebradillas, PR 00678-9486
Phone
(787) 454-6864
NPI assigned
Dec 22, 2016
Last updated
Jan 4, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 76290G PR Primary

Addresses

Primary practice location

41611 Barrio San Antonio
Sector El Fosforo
Quebradillas, PR 00678-9486

Mailing address

41611 Barrio San Antonio
Quebradillas, PR 00678-9486
Phone (787) 320-2437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
76290GPRMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1482364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483488000000",
    "number": "1295270577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41611 BARRIO SAN ANTONIO",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "006789486",
            "telephone_number": "787-320-2437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41611 BARRIO SAN ANTONIO",
            "address_2": "SECTOR EL FOSFORO",
            "city": "QUEBRADILLAS",
            "state": "PR",
            "postal_code": "006789486",
            "telephone_number": "787-454-6864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ CARABALLO",
        "first_name": "YESENIA",
        "name_prefix": "Miss",
        "credential": "NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-22",
        "last_updated": "2017-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PR",
            "license": "76290G",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quebradillas, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2017; 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.