Active NPI
Anibal J. Caraballo Sr., PHARMD
- Pharmacist
- Aibonito, PR
National Provider Identifier
1306977988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 6670
- Practice address
- Carr PR 14 KM 80.4
Parque Industrial Bo. Pueblo
Aibonito, PR 00705-0073 - Phone
- (787) 739-8182
- NPI assigned
- Mar 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 6670 | PR | Primary |
Addresses
Primary practice location
Carr PR 14 KM 80.4
Parque Industrial Bo. Pueblo
Aibonito, PR 00705-0073
Mailing address
27 Calle Baldorioty
Sabana Grande, PR 00637-1727
Phone (787) 504-8735
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
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6670 | PR | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633651200000",
"number": "1306977988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 CALLE BALDORIOTY",
"city": "SABANA GRANDE",
"state": "PR",
"postal_code": "006371727",
"telephone_number": "787-504-8735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "CARR PR 14 KM 80.4",
"address_2": "PARQUE INDUSTRIAL BO. PUEBLO",
"city": "AIBONITO",
"state": "PR",
"postal_code": "007050073",
"telephone_number": "787-739-8182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARABALLO",
"first_name": "ANIBAL",
"middle_name": "J.",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-08",
"last_updated": "2021-10-08",
"certification_date": "2021-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "PR",
"license": "6670",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aibonito, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.