Flores Ivan Caraballo, M.D.
Individual provider Active NPI Internal Medicine Physician · Utuado, PR
NPI 1366595191 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1366595191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 9153 (PR)
- Practice address
- 7 Calle Dr Cueto
Utuado, PR 00641-2935 - Phone
- (787) 894-5686
- Fax
- (787) 894-5686
- NPI assigned
- Jan 18, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
300 Calle Fernando L Garcia
Utuado, PR 00641-3068
Phone (787) 894-5686
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 |
|---|---|---|---|---|
| I20131028001775 | PR | Practitioner - Internal Medicine | 4981839941 | Practice locations: Utuado, PR |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9153 | PR | MD | Internal Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 9153 | PR | Yes |
Addresses
Primary practice location
7 Calle Dr Cueto
Utuado, PR 00641-2935
Mailing address
PO Box 622
Utuado, PR 00641-0622
Phone (787) 894-5686
Other providers in Utuado, PR
- Carolina Maite Barreto Santiago
- Angela M. Belgiovane
- Carlos Francisco Benitez Rios
- Marangeli Borrero Montero
- Capco Medical Inc
- Carlos Ivan Cuevas Serrano
- Doried Carrasquillo Perez
- Liz M. Cartagena Ortiz
- Yaritza Casanova Mangual
- Angel David Castro
All providers in Utuado, PR · Internal 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 Jul 9, 2007. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.