| Doctor Name: | MISS BLANCA CARABALLO |
| NPI Number: | 1154525376 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N.B.S.N. |
| License Number: | 15538 |
| Business Practice Address: | Teniente Cesar Gonzalez 1106 Villa Nevares Rio Piedras, PR - 009281414 |
| Business Phone Number: | 7877588019 |
| Business Fax Number: | |
| Mailing Address: | Po Box 2253, BAYAMON |
| State: | PR |
| Postal Code: | 009602253 |
| Phone Number: | 7878707297 |
| Fax Number: | |
| NPI Enumeration Date: | 06/12/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WP0809X |
| License Number: | 15538 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PR |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Psych/Mental Health, Adult |
| Taxonomy Definition: | |