Abigail Caraballo, DMD
Individual provider Active NPI Dentist · Arroyo, PR
NPI 1821154493 · NPPES record last updated Sep 25, 2013
Key facts
- NPI
- 1821154493
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 1674 (PR)
- Practice address
- Calle Morse #79
Arroyo, PR 00714 - Phone
- (787) 839-7059
- Fax
- (787) 839-7089
- NPI assigned
- Dec 28, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170316001488 | PR | Order and Referring Only - Oral Surgery |
4587949441 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1674 | PR | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinica Dental DRS Abigail Caraballs CSP | Dentist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 1674 | PR | Yes |
Addresses
Primary practice location
Calle Morse #79
Arroyo, PR 00714
Mailing address
PO Box 1180
Calle Morse #79
Arroyo, PR 00714
Phone (787) 839-7059
Other providers in Arroyo, PR
- Larry Bernier Gonzalez
- Milagros Bones-Ortiz
- Leslie Ann Borrero
- Jose Alberto Burgos Gonzalez
- Ednaliz Camacho Montes
- Islaine Mari Carmona-Santiago
- Sheila Casanova
- Centro de Salud Familiar Dr. Julio Palmieri Ferri Inc.
- Centro de Salud Familiar Dr. Julio Palmieri Ferri Inc.
- Centro de Salud Familiar Dr. Julio Palmieri Ferri Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2013. 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).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.