Carmen Caballero, M.D.

Primary specialty

Nuclear Medicine PhysicianTaxonomy code 207U00000X

License

004210 Issued in PR

Practice address

535E-Street
#864 Reparto Metropolitano Dev.;
San Juan, PR 00921

Phone

(770) 367-6263

NPI assigned

Jun 18, 2013

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371513600000",
    "number": "1962841411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10060",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009220060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535E-STREET",
            "address_2": "#864 REPARTO METROPOLITANO DEV.;",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "00921",
            "telephone_number": "770-367-6263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABALLERO",
        "first_name": "CARMEN",
        "name_prefix": "Miss",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-18",
        "last_updated": "2013-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "PR",
            "license": "004210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN LICENSE",
            "identifier": "004210",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• C&C Professional Therapy Group
• C&M Medical Services, P.S.C
• C&S Ambulances Services Inc.
• Pamela Caballero Maldonado
• Edesther Alejandra Caballero-Gippson
• Fabiola Mari Caban Bravo
• Jelanie Marie Caban Rivera
• Erik Omar Caban Rodriguez, M.D.
• Michelle Angeli Caban Ruiz, PH.D.
• Angel Luis Caban, P.A.

• Nuclear Medicine Physician in San Juan, PR
• Providers in San Juan, PR by specialty
• Nuclear Medicine Physician in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; 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.