Individual
KEVIN JOSE CABALLERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
410 AVE HOSTOS, MAYAGUEZ, PR 00682-1560
(787) 652-9200
(787) 833-3831
Mailing address
URB. EL ROCIO CALLE MIMOSA #60, CAYEY, PR 00736
(787) 930-0720
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
36284R
PR
207QA0505X
Adult Medicine Physician
Primary
DR.0073329
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/04/2021
Last updated
09/16/2024
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