Individual
DR. JAVIER ALEXIS CARABALLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
909 AVE TITO CASTRO, PONCE, PR 00716-4728
(787) 651-1435
(787) 651-6362
Mailing address
2108 CALLE BARONESA, VALLE REAL, PONCE, PR 00716-0514
(787) 608-3537
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
17686
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17686
—
PR
Enumeration date
07/30/2009
Last updated
02/11/2019
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