Abigail Caraballo, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

1674 Issued in PR

Practice address

Calle Morse #79
Arroyo, PR 00714

Phone

(787) 839-7059

Fax

(787) 839-7089

NPI assigned

Dec 28, 2006

Last updated

Sep 25, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Clinica Dental DRS Abigail Caraballs CSP

  • Dentist
  • Arroyo, PR
  • NPI 1528283454
  NPD (past)

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380067200000",
    "number": "1821154493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1180",
            "address_2": "CALLE MORSE #79",
            "city": "ARROYO",
            "state": "PR",
            "postal_code": "00714",
            "telephone_number": "787-839-7059",
            "fax_number": "787-839-7089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CALLE MORSE #79",
            "city": "ARROYO",
            "state": "PR",
            "postal_code": "00714",
            "telephone_number": "787-839-7059",
            "fax_number": "787-839-7089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARABALLO",
        "first_name": "ABIGAIL",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2013-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "PR",
            "license": "1674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry Bernier Gonzalez, MD
• Milagros Bones-Ortiz
• Leslie Ann Borrero, MA
• Jose Alberto Burgos Gonzalez, MD
• 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 Arroyo)
• Centro de Salud Familiar Dr. Julio Palmieri Ferri Inc. (Centro de Salud Familiar Arroyo)

• Dentist in Arroyo, PR
• Providers in Arroyo, PR by specialty
• Dentist in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; 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.