Robert William Caraballo
Individual provider Active NPI Optician · Mayaguez, PR
NPI 1336989367 · NPPES record last updated May 28, 2024
Key facts
- NPI
- 1336989367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optician 156FX1800X
- License
- 846 (PR)
- Practice address
- 975 Ave Hostos Ste 2100
Mayaguez, PR 00680-1252 - Phone
- (787) 834-2280
- Fax
- (787) 834-3020
- NPI assigned
- May 28, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 846 | PR | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 846 | PR | Yes |
Addresses
Primary practice location
975 Ave Hostos Ste 2100
Mayaguez, PR 00680-1252
Mailing address
975 Ave Hostos Ste 2100
Mayaguez, PR 00680-1252
Phone (787) 834-2280
Other providers in Mayaguez, PR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.