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Raul Caballero

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

16880 SW 84th Ave, Palmetto Bay, FL 33157-4604

PECOS Enrollment

Based on the most recent information from CMS, provider Raul Caballero is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1487265104
Provider Type
Individual
Full Name
Caballero, Raul
Title
Mr.
Credential
ARNP

Gender
Male
Sole Proprietor
Yes
Enumeration Date
8/14/2020
Last Updated
7/29/2024

Contact Information

Practice Location

16880 SW 84th Ave, Palmetto Bay, FL 33157-4604

(786) 303-4267

Unlisted Fax

Mailing Location

16880 SW 84th Ave, Palmetto Bay, FL 33157-4604

(786) 303-4267

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 11008651 Florida

Raul Caballero

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Siegel, Jeanne Hinton

Enriquez-Alvarez, Miriam Estela

Tejeda Garcia, Yanet

Gonzalez, Connie Remolina

Bada, Mayrelis

Caballero, Michelle

Perez Martinez, Miguel De Jesus

Garcia, Adriana

Johnson, Jeanine Daiana

Urbina, Rebeca