Organization
KATHY A. CARABALLO RIVERA,PSC
Active
Parent organization
KATHY A. CARABALLO RIVERA,PSC
Organization subpart
Yes
Provider details
NPI number
Legal business name
KATHY A. CARABALLO RIVERA,PSC
Authorized official
DR. KATHY ANN CARABALLO MD (FAMILY MEDICINE)
(787) 201-9026
Entity
Organization
Contact information
Practice address
BAYAMON MEDICAL CENTER, CARR #2 KM 11.7, BAYAMON, PR 00959
(787) 201-9026
Mailing address
PO BOX 1757, UTUADO, PR 00641-1757
(787) 201-9026
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/06/2020
Last updated
04/06/2020
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