Jose Antonio Caballero-Lopez, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

13082 Issued in PR

Practice address

30 Calle Padial
Gatsby Plaza Suite 314
Caguas, PR 00725-3597

Phone

(787) 286-1431

Fax

(787) 286-1431

NPI assigned

Apr 26, 2006

Last updated

Aug 8, 2019By 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 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Corporacion de Salud Asegurada Por Nuestra Organizacion Solidaria Inc.

  • Federally Qualified Health Center (FQHC)
  • Caguas, PR
  • NPI 1548321029
  Medicare reassignment NPD
• Corporacion de Salud Asegurada Por Nuestra Organizacion Solidaria, Inc

  • Dentist
  • Caguas, PR
  • NPI 1235996216
  NPD
• Inspira Psychiatric Services PSC

  • Adult Mental Health Clinic/Center
  • Bayamon, PR
  • NPI 1912088238
  NPD (past)
• San Juan Capestrano Hospital Inc.

  dba San Juan Capestrano Hospital

  • Psychiatric Hospital
  • Rio Piedras, PR
  • NPI 1144293705
  NPD (past)
• San Juan Capestrano Hospital, Inc.

  dba San Juan Capestrano Hospital

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Caguas, PR
  • NPI 1821208521
  NPD (past)

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565222400000",
    "number": "1740247683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1874",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009841874",
            "telephone_number": "787-286-1431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 CALLE PADIAL",
            "address_2": "GATSBY PLAZA SUITE 314",
            "city": "CAGUAS",
            "state": "PR",
            "postal_code": "007253597",
            "telephone_number": "787-286-1431",
            "fax_number": "787-286-1431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABALLERO-LOPEZ",
        "first_name": "JOSE",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2019-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PR",
            "license": "13082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minerva Burgos, RPH
• Obed Oemir Burgos
• Veronica Burgos, MPSY
• Annette I Buscamper, OT
• Ninoshka Marie Caballero Colon
• Lyan Marie Cabello Ballester
• Miguelina Cabral de Beauchamp, MD
• Hector L Caceres, MD
• Caguas Ambulatory Surgical Center, Inc
• Caguas Cardio Center CSP

• Child & Adolescent Psychiatry Physician in Caguas, PR
• Providers in Caguas, PR by specialty
• Child & Adolescent Psychiatry Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.