LILLIBETH CARABALLO-POLANCO (NPI# 1790236065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790236065 |
| Entity Type | Individual |
| Full Name | LILLIBETH CARABALLO-POLANCO |
| Credential | M.D. |
| Practice Address |
Carretera 129 Km 1.0 Ave San Luis Hospital Pavia Arecibo PR 00612 |
| Mailing Address |
Po Box 4375 Aguadilla PR 00605-4375 |
| Practice Telephone | 7876507272 |
| Mailing Telephone | 7875607037 |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2016-10-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | 14,300-I | PR | Other Service Providers |
| Street Address |
CARRETERA 129 KM 1.0 AVE SAN LUIS HOSPITAL PAVIA |
| City | ARECIBO |
| State | PR |
| Zip Code | 00612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871095844 | Arlene Velez-galan | Psychologist | Carretera 129 Km 1.0 Ave San Luis, Arecibo, PR 00612 | 2018-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124929 | Grace Marie Gonzalez | Physician Assistant | Rodriguez Olmo, Calle Armando Vega Colon, Numero 25, Arecibo, PR 00612 | 2020-11-06 |
| 1043811219 | Patricia Alejandra Alcantara | Psychologist | Arecibo Medical Plaza, 65 Ave Jose Celso Barbosa, Suite 201, Arecibo, PR 00612 | 2020-11-04 |
| 1982203980 | Advanced Gi Solutions LLC | Internal Medicine | Metropolitan Office Building Bo Pueblo Calle Jose De Di, Arecibo, PR 00612 | 2020-10-21 |
| 1922606136 | Isabel R Pogozelski | Registered Nurse | Condominio Terrazul 9, Arecibo, PR 00612 | 2020-10-12 |
| 1003413931 | Luis Jose Nieves Rivera | Physician Assistant | Carr #2 Km 65.6 Bo Factor 1, Arecibo, PR 00612 | 2020-10-05 |
| 1619583358 | Emanuel Rivera Rivera | Emergency Medical Technician, Basic | Bo. Santana, Arecibo, PR 00612 | 2020-09-18 |
| 1326653874 | Sea Hunt Ambulance Inc | Ambulance | Bo Islote Sec Parcela, Islote 2 C/8 Casa 27, Arecibo, PR 00612 | 2020-09-11 |
| 1053926451 | Los Pinos Medical Center LLC | Dietitian, Registered | Bo Santana Zona Industrial, Carr #2 Km 67.7, Arecibo, PR 00612 | 2020-09-11 |
| 1609481449 | Ipa Policlinica Familiar Factor Doctores Nieves, Csp | Clinic/Center | Carr 2 Km 65.6 Bo Factor 1, Arecibo, PR 00612 | 2020-09-09 |
| 1598370363 | Azzaro Health Medical LLC | General Practice | Urb. Vista Mar Calle Adriano Gonzalez # 14, Arecibo, PR 00612 | 2020-09-09 |
| Find all providers in zip 00612 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992843569 | Luis Rafael Nunez | Case Manager/Care Coordinator | 8 Calle Coballes Gandia, Urb. Villamar, Arecibo, PR 00612-4432 | 2007-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699391276 | North In Hospital Physicians | Case Manager/Care Coordinator | Carretera Num 2 Km 39.7, Vega Baja, PR 00693 | 2020-06-19 |
| 1215491550 | Joann Lopez Maysonet | Case Manager/Care Coordinator | Calle Santa Cruz B-11, Urb. Santa Cruz, Bayamon, PR 00961-0060 | 2019-01-30 |
| 1356805949 | Yanira Torres | Case Manager/Care Coordinator | 350 Calle Villa Final, 204 Apt Melissa, Ponce, PR 00730 | 2019-01-28 |
| 1376007591 | Carlos Alberto Padilla | Case Manager/Care Coordinator | U3-27 Calle Fernando G Acosta, San Juan, PR 00921-3605 | 2019-01-23 |
| 1861964991 | Dayra Cruz | Case Manager/Care Coordinator | Consolidated Mall 201 C05 Suite 67, Caguas, PR 00725 | 2018-12-31 |
| 1245709823 | Metro North Medical Group LLC | Case Manager/Care Coordinator | Calle 1 G12 Villa Matilde, Toa Alta, PR 00953 | 2018-11-13 |
| 1225503568 | Identity Health Group Inc | Case Manager/Care Coordinator | 47 Calle Munoz Rivera W, Rincon, PR 00677-2125 | 2018-10-12 |
| 1922594282 | Prevntive Medical Alliance Inc | Case Manager/Care Coordinator | Ave Los Rotarios Carr 4415 Km 1.5, Suite 2, Aguada, PR 00602 | 2018-07-10 |
| 1396236741 | Telemedico Psc | Case Manager/Care Coordinator | 349 Felisa Rincon De Gautier Ave, Suite 204, San Juan, PR 00926 | 2018-05-22 |
| 1972029403 | Paola Perez | Case Manager/Care Coordinator | 8169 Cond San Vicente, Suite 401, Calle Cooncordia, Ponce, PR 00717 | 2017-08-16 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.