Kathy a. Caraballo Rivera,PSC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

KATHY A. CARABALLO RIVERA,PSC

Practice address

Bayamon Medical Center
Carr #2 KM 11.7
Bayamon, PR 00959

Phone

(787) 201-9026

NPI assigned

Apr 6, 2020

Last updated

Apr 6, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

KATHY A. CARABALLO RIVERA,PSCAs reported in NPPES

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

Authorized official

Name

Dr. Kathy Ann Caraballo, MD

Title

Family Medicine

Phone

(787) 201-9026

Specialties & licenses 1

Addresses

Part of

Kathy a Caraballo Riverapsc

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kathy Ann Caraballo Rivera, MD

  • Family Medicine Physician
  • Bayamon, PR
  • NPI 1992164230
  NPD (past)

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586131200000",
    "number": "1649809260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1757",
            "city": "UTUADO",
            "state": "PR",
            "postal_code": "006411757",
            "telephone_number": "787-201-9026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BAYAMON MEDICAL CENTER",
            "address_2": "CARR #2 KM 11.7",
            "city": "BAYAMON",
            "state": "PR",
            "postal_code": "00959",
            "telephone_number": "787-201-9026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHY A. CARABALLO RIVERA,PSC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KATHY A. CARABALLO RIVERA,PSC",
        "enumeration_date": "2020-04-06",
        "last_updated": "2020-04-06",
        "certification_date": "2020-04-06",
        "status": "A",
        "authorized_official_last_name": "CARABALLO",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "FAMILY MEDICINE",
        "authorized_official_telephone_number": "787-201-9026",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angel Mario Jusino, PHARMACIST
• Eva Jannette Jusino
• Providencia Jusino
• Elsa Cristina Justiniano, DMD
• K Toro Garraton Inc
• KCM Service, PSC (Carlos J. Miranda)
• Kenel Fernandez Barbosa (Oncologia Hematologia San Pablo)
• Keylivette's Therapy Center, LLC
• Kids Pulm PR LLC
• Kinetics Solutions

• Family Medicine Physician in Bayamon, PR
• Providers in Bayamon, PR by specialty
• Family Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2020; 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.