| Juan C Acosta Caraballo, MD | |
|
800 Meadows Rd, Boca Raton, FL 33486-2304 | |
| (561) 955-7100 | |
| Not Available |
| Full Name | Juan C Acosta Caraballo |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Neonatal-perinatal Medicine |
| Location | 800 Meadows Rd, Boca Raton, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154580561 | NPI | - | NPPES |
| 7100262590 | Medicaid | KY | |
| 200937500 | Medicaid | IN | |
| 000000961789 | Other | IN | ANTHEM PROVIDER NUMBER |
| 3072124 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 01062159A (Indiana) | Secondary |
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 156515 (Florida) | Primary |
| Entity Name | Arnett Clinic, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164490843 PECOS PAC ID: 0749184380 Enrollment ID: O20031125000119 |
| Entity Name | Indiana University Health Southern Indiana Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013953983 PECOS PAC ID: 6204748197 Enrollment ID: O20040423000556 |
| Mailing Address | Practice Location Address |
|---|---|
| Juan C Acosta Caraballo, MD 1301 Concord Ter, Sunrise, FL 33323-2843 Ph: (800) 243-3839 | Juan C Acosta Caraballo, MD 800 Meadows Rd, Boca Raton, FL 33486-2304 Ph: (561) 955-7100 |
Gabriela Ferder, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 19615 State Road 7, Suite 32, Boca Raton, FL 33498 Phone: 561-477-7700 Fax: 561-477-7707 | |
Shira Bassly, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 19615 State Road 7, Suite 32, Boca Raton, FL 33498 Phone: 561-477-7700 Fax: 561-477-7707 | |
Daniella Hurtado Saydi, Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6877 Sw 18th St Ste 147, Boca Raton, FL 33433 Phone: 561-347-8382 Fax: 561-347-8487 | |
Robert A Relkin, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6909 Sw 18th St, Suite A202, Boca Raton, FL 33433 Phone: 561-347-8382 Fax: 561-347-8487 | |
Paula Grigoriu, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 19615 State Road 7 Ste 32, Boca Raton, FL 33498 Phone: 561-477-7700 Fax: 561-477-7707 | |
Victor S Lamberto, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4301 N Ocean Blvd, Boca Raton, FL 33431 Phone: 646-505-9964 | |
Dr. Hema Radhakrishna Pillai, M.D.F.A.A.P. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 5458 Town Center Road, Suite #101, Boca Raton, FL 33486 Phone: 561-393-8555 Fax: 561-393-1904 |