Individual provider Active NPI

Francisco Javier Caraballo Garcia, MD

  • Nephrology Physician
  • Coto Laurel, PR
National Provider Identifier
1881151694
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
22331 Issued in PR
Practice address
302 Torre San Cristobal Ste 302
Coto Laurel, PR 00780-2849
Phone
(787) 259-1934
NPI assigned
Feb 28, 2019
Last updated
Jan 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 22331 PR Primary

Addresses

Primary practice location

302 Torre San Cristobal Ste 302
Coto Laurel, PR 00780-2849

Mailing address

PO Box 335494
Ponce, PR 00733-5494
Phone (787) 618-7890

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241031001589 PR Practitioner - NephrologyPractitioner - Internal Medicine 0749713501 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1203 Ave Munoz Rivera Urb Villa
Ponce, PR 00717
Phone (787) 618-7890

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
NKCC Nephrology Consultants LLC Nephrology CurrentSince Aug 13, 2024 Accepting new patients
Nefro Vida LLC Nephrology PastSince Jan 19, 2025 Accepting new patients

Locations

302 Torre San Cristobal
Ste 302
Coto Laurel, PR 00780
Phone (787) 259-1934

1203 Ave Munoz Rivera
Ponce, PR 00717
Phone (787) 618-7890

Organizations & group practices 2

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 & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1881151694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 335494",
            "city": "PONCE",
            "state": "PR",
            "postal_code": "007335494",
            "telephone_number": "787-618-7890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 TORRE SAN CRISTOBAL STE 302",
            "city": "COTO LAUREL",
            "state": "PR",
            "postal_code": "007802849",
            "telephone_number": "787-259-1934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARABALLO GARCIA",
        "first_name": "FRANCISCO",
        "middle_name": "JAVIER",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-28",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PR",
            "license": "22331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coto Laurel, PR

Sources for this page

Verify at the official NPI Registry.