Individual
DR. KATHY ANN CARABALLO RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
CARR #2 KM 11.7, BAYAMON, PR 00659
(787) 201-9026
(787) 621-3553
Mailing address
PO BOX 1757, UTUADO, PR 00641-1757
(787) 201-9026
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
19408
PR
208D00000X
General Practice Physician
19408
PR
208D00000X
General Practice Physician
32243R
PR
390200000X
Student in an Organized Health Care Education/Training Program
13519I
PR
Other
Enumeration date
02/15/2016
Last updated
08/12/2019
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