Luis Bienvenido Caraballo Antonio, MD
Internal Medicine in Portsmouth, NH. Individual provider (NPI-1).
NPI number1780145763
StatusActive
Last updated in NPPESOct 13, 2024
Details
- NPI
- 1780145763
- Entity type
- Individual (NPI-1)
- Name
- Luis Bienvenido Caraballo Antonio
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 30, 2019
- Certification date
- Oct 13, 2024
- Last updated
- Oct 13, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 25229 | NH | Yes |
Practice location
333 Borthwick AvePortsmouth, NH 03801-7128
Phone 603-436-5110
Mailing address
333 Borthwick AvePortsmouth, NH 03801-7128
Phone 603-436-5110
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