Acosta Caraballo, Juan C.
Acosta Caraballo, Juan C. is an individual health care provider with primary practice located at 800 Meadows Rd , Boca Raton FL 33486-2304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Acosta Caraballo, Juan C. can be contacted via phone (561) 955-7100.Contact Information
Primary practice address
800 Meadows Rd
Boca Raton FL 33486-2304
Phone: (561) 955-7100
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 01062159A | Indiana |
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 156515 | Florida |
Profile Details
NPI number | 1154580561 |
---|---|
LBN Legal business name | Acosta Caraballo, Juan C. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 2nd, 2008 |
Last updated | Sep 26th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1154580561 | NPPES |
Kentucky | MEDICAID | 7100262590 | |
Kentucky | MEDICAID | 200937500 | |
Kentucky | Other | 000000961789 | |
Kentucky | MEDICAID | 3072124 |
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