Yessi Caraballo, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

17151 Issued in PR

Practice address

Ave B-228
Urb Santa Isidra
Fajardo, PR 00738-0000

Phone

(787) 616-4940

NPI assigned

Jul 16, 2008

Last updated

Jul 16, 2008By the provider in NPPES

Sex

Female

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.

• Hospital Menonita de Cayey

  • General Acute Care Hospital
  • Cayey, PR
  • NPI 1750317764
  Medicare reassignment NPD
• Hospital Menonita de Cayey

  dba Grupo Medico Menonita de Cayey

  • Specialist
  • Cayey, PR
  • NPI 1255461893

  General Practice

  NPD
• Salud En El Hogar del Caribe, Inc.

  • Home Health Agency
  • Vieques, PR
  • NPI 1699882787
  NPD (past)

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216166400000",
    "number": "1851555031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AVE B-228",
            "address_2": "URB SANTA ISIDRA",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007380000",
            "telephone_number": "787-616-4940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "AVE B-228",
            "address_2": "URB SANTA ISIDRA",
            "city": "FAJARDO",
            "state": "PR",
            "postal_code": "007380000",
            "telephone_number": "787-616-4940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARABALLO",
        "first_name": "YESSI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-16",
        "last_updated": "2008-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "17151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manuel A Cabrera Diaz, M.D.
• John Axel Cabrera Ramos
• Sharielys Enid Cabrera Suazo
• Glendali Camacho, RPH
• Omar A Camacho, MD
• Pedro A. Carde, M.D.
• Caribbean Medical Supplies
• Caribe Pharmacy Management LLC (Farmacia Caridad #39)
• Caribe Physicians Plaza (Caribbean Medical Center)
• Caribe Physicians Plaza Corporation (Hospital Caribbean Medical Center)

• General Practice Physician in Fajardo, PR
• Providers in Fajardo, PR by specialty
• General Practice Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2008; 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.