| Provider / Organization | NPI | Date Certified |
|---|---|---|
| LUIS BIENVENIDO CARABALLO ANTONIO | 1780145763 | 2024-10-13 |
Luis Bienvenido Caraballo Antonio is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1780145763. Registration indicates Luis Bienvenido Caraballo Antonio is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Internal Medicine Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Internal Medicine) (Internal Medicine, ) (Allopathic & Osteopathic Physicians, Internal Medicine) (Primary Care/Family Planning/APRN/PA, ) (Internal Medicine, Allopathic & Osteopathic Physicians)
| Entity Type | Individual |
| Provider Name | Luis Bienvenido Caraballo Antonio MD |
| Practice Office Address | 333 BORTHWICK AVE PORTSMOUTH, NH US |
| Practice Office Telephone | 6034365110 |
| Mailing Address | 333 BORTHWICK AVE PORTSMOUTH, NH 038017128 US |
| Business Telephone | 6034365110 |
| Code | Practice | License No State |
|---|---|---|
| 207R00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Internal MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Internal Medicine Internal Medicine Allopathic & Osteopathic Physicians Internal Medicine Primary Care/Family Planning/APRN/PA Internal Medicine Allopathic & Osteopathic Physicians | 25229
NH |