Provider Demographics
NPI:1730241043
Name:CABALLERO, CARLOS F (MD)
Entity type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:F
Last Name:CABALLERO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1801 ARLINGTON ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-3502
Mailing Address - Country:US
Mailing Address - Phone:941-917-8365
Mailing Address - Fax:941-917-7014
Practice Address - Street 1:1801 ARLINGTON ST
Practice Address - Street 2:SUITE 2
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-3502
Practice Address - Country:US
Practice Address - Phone:941-917-8365
Practice Address - Fax:941-917-7014
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2013-05-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME69014207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
G12497Medicare UPIN