Johnathan Alexander Caraballo Solis, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

22251 Issued in PR

Practice address

Urb. Industrial Reparada 2 396 Calle Dr. Luis F Sala
Ponce, PR 00716

Phone

(787) 812-2525

NPI assigned

Sep 13, 2018

Last updated

Oct 5, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Ponce School of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tiber Health Public Benefit CorporationGroup PAC ID 8820302979, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Tiber Health, Public Benefit Corporation

  dba Ponce Health Sciences University

  • Multi-Specialty Clinic/Center
  • Ponce, PR
  • NPI 1184139602
  Medicare reassignment Care Compare group NPD
• Tiber Health, Public Benefit Corporation

  dba Ponce Health Sciences University

  • Clinic/Center
  • Ponce, PR
  • NPI 1467180851
  NPD
• Arist Medical Sciences University, Public Benefit Corporation

  dba Ponce Health Sciences University

  • Multi-Specialty Clinic/Center
  • Ponce, PR
  • NPI 1396147724
  NPD (past)
• First Hospital Panamericano Inc

  dba FHC Panamericano

  • Psychiatric Hospital
  • Cidra, PR
  • NPI 1346357225
  NPD (past)

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696464000000",
    "number": "1679056865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2066",
            "city": "COAMO",
            "state": "PR",
            "postal_code": "007694066",
            "telephone_number": "787-901-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "URB. INDUSTRIAL REPARADA 2 396 CALLE DR. LUIS F SALA",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "00716",
            "telephone_number": "787-812-2525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "408 Calle Majestad",
            "address_2": "Mansiones de Coamo",
            "address_purpose": "LOCATION",
            "city": "Coamo",
            "state": "PR",
            "postal_code": "00769",
            "country_code": "US",
            "telephone_number": "787-901-1714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARABALLO SOLIS",
        "first_name": "JOHNATHAN",
        "middle_name": "ALEXANDER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-13",
        "last_updated": "2023-10-05",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PR",
            "license": "22251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenda Caraballo Ortiz
• Emmanuelle Jose Caraballo Rivera, M.SC.
• Valery Marie Caraballo Rivera, PA
• Carmen B Caraballo Rodriguez
• Ariana Carolina Caraballo Soler
• Nilsa Caraballo Torres, PHARMACY TECHNICIAN
• Daniel Caraballo-Burgos, OD
• Delmarie Caraballo, BSW
• Gelitza Caraballo, PSY.D.
• Javier Alexis Caraballo, M.D.

• Psychiatry Physician in Ponce, PR
• Providers in Ponce, PR by specialty
• Psychiatry Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.