Juan Caraballo Vazquez, | |
Consolidated Medical Plaza, 201 Ave Gautier Benitez Ste 307a, Caguas, PR 00725 | |
(787) 957-8282 | |
(787) 665-1165 |
Full Name | Juan Caraballo Vazquez |
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Gender | Male |
Speciality | Nurse Practitioner - Family |
Location | Consolidated Medical Plaza, Caguas, Puerto Rico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215631015 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | 4559 (Puerto Rico) | Primary |
Entity Name | Pr Pain Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720488596 PECOS PAC ID: 9133441157 Enrollment ID: O20141202001987 |
Mailing Address | Practice Location Address |
---|---|
Juan Caraballo Vazquez, Consolidated Medical Plaza, 201 Ave Gautier Benitez Ste 307a, Caguas, PR 00725 Ph: (787) 957-8282 | Juan Caraballo Vazquez, Consolidated Medical Plaza, 201 Ave Gautier Benitez Ste 307a, Caguas, PR 00725 Ph: (787) 957-8282 |
Angela I Feliciano Caraballo, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Ave Luis Munoz Marin, Caguas, PR 00725 Phone: 787-653-3434 | |
Ms. Yashira M Lugo Rodriguez, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Po Box 4980, Caguas, PR 00726 Phone: 787-653-3434 | |
Valery Santana Castro, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Ave Luis Munoz Marin, Caguas, PR 00725 Phone: 787-653-6060 | |
Ana C Gomez Caicedo, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Urb. Villa Nueva Calle 11 I 12, Apartment B, Caguas, PR 00727 Phone: 939-206-3404 | |
Edgard K Reyes Cartagena, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Urb Bairoa Ar11 Calle 29, Caguas, PR 00725 Phone: 787-696-0279 |