National Provider Identifier

Jose L Caraballo

Jose L Caraballo is listed in the NPPES registry with a primary specialty of Non-emergency Medical Transport (VAN) in Fredonia, NY and a listed phone number of (716) 467-1541.

NPI 1831796697Fredonia, NYNon-emergency Medical Transport (VAN)

Profile Overview

NPI
1831796697
Provider Type
Individual
Primary Specialty
Non-emergency Medical Transport (VAN)
Enumeration Date
October 05, 2020
Last Updated
October 05, 2020

Practice Location

  • 39 White St
  • Fredonia, NY 14063-1817

Phone: (716) 467-1541

Specialties

  • Non-emergency Medical Transport (VAN) (343900000X)
Full Record
NPI
1831796697
Entity Type
Individual
Last Name
Caraballo
First Name
Jose
Middle Name
L
Mailing Street Address
39 White St
Mailing City
Fredonia
Mailing State
NY
Mailing ZIP Code
14063-1817
Mailing Country
US
Mailing Phone
(716) 467-1541
Practice Street Address
39 White St
Practice City
Fredonia
Practice State
NY
Practice ZIP Code
14063-1817
Practice Country
US
Practice Phone
(716) 467-1541
Enumeration Date
October 05, 2020
Last Updated
October 05, 2020
Sex
Male
Sole Proprietor
Yes
Certification Date
October 05, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Non-emergency Medical Transport (VAN) (343900000X)