Organization Active NPI

Institucion Don German Caraballo Mojica, Inc

  • Assisted Living Facility
  • Sabana Grande, PR
National Provider Identifier
1770762155
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
INSTITUCION DON GERMAN CARABALLO MOJICA, INC
Practice address
Carr.369 KM. 2.2 Int. Bo. Cerro Gordo
Sabana Grande, PR 00637
Phone
(787) 873-0079
Fax
(787) 873-0079
NPI assigned
Nov 1, 2007
Last updated
Nov 1, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Authorized official

Name
William Caraballo Alemany
Title
Administrator
Phone
(787) 873-0079

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X PR Primary

Addresses

Primary practice location

Carr.369 KM. 2.2 Int. Bo. Cerro Gordo
Sabana Grande, PR 00637

Mailing address

HC 9 Box 5948
Sabana Grande, PR 00637-9622
Phone (787) 873-0079

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1770762155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HC 9 BOX 5948",
            "city": "SABANA GRANDE",
            "state": "PR",
            "postal_code": "006379622",
            "telephone_number": "787-873-0079",
            "fax_number": "787-873-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR.369 KM. 2.2 INT. BO. CERRO GORDO",
            "city": "SABANA GRANDE",
            "state": "PR",
            "postal_code": "00637",
            "telephone_number": "787-873-0079",
            "fax_number": "787-873-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUCION DON GERMAN CARABALLO MOJICA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-01",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "CARABALLO ALEMANY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "787-873-0079"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "PR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sabana Grande, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.