NPI 1164488540 DR. JOSUE JORGE CARABALLO M.D. MACCLENNY FL. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Dr. Josue Jorge Caraballo - NPI: 1164488540

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: DR. JOSUE JORGE CARABALLO
NPI Number: 1164488540
Entity Type Code: Individual (1)
Gender: M
Credentials: M.D.
License Number: ACN275
Business Practice Address: 480 W Lowder St
Macclenny, FL - 320632664
Business Phone Number: 9042596291
Business Fax Number: 9042594761
Mailing Address: 480 W Lowder St,
MACCLENNY
State: FL
Postal Code: 320632664
Phone Number: 9042596291
Fax Number: 9042594761
NPI Enumeration Date: 04/25/2006
NPI Last Update Date: 03/12/2014
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 208D00000X
License Number: ACN275
Healthcare Provider Taxonomy:
(Secondary)
N
State: FL
Taxonomy Type: Allopathic & Osteopathic Physicians
Taxonomy Classification: General Practice
Taxonomy Specialization:
Taxonomy Definition:


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