JUAN CARABALLO VAZQUEZ
NPI 1215631015
Nurse Practitioner - Family in Fort Stewart, GA
About Juan Caraballo Vazquez NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUAN CARABALLO VAZQUEZ (NPI 1215631015) is an individual family provider in Fort Stewart, Georgia, licensed in Florida (APRN11023166) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Juan Caraballo Vazquez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 31314 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FORT STEWART, GA 31314
FORT STEWART, GA 31314
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Juan Caraballo Vazquez's NPI number?
The NPI number for Juan Caraballo Vazquez is 1215631015. It was assigned to this individual provider in the NPPES registry on March 28, 2023.
Where is Juan Caraballo Vazquez located?
Juan Caraballo Vazquez practices at 1061 Harmon Ave, Fort Stewart, GA 31314. The listed phone number is (912) 435-6965.
What is Juan Caraballo Vazquez's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Juan Caraballo Vazquez enrolled in Medicare?
Yes. Juan Caraballo Vazquez is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Juan Caraballo Vazquez was last updated on October 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Juan Caraballo Vazquez · NPI 1215631015
Family physician in Fort Stewart, Georgia. Individual provider, active in the CMS NPPES registry since March 28, 2023.
## Identity
- **NPI:** 1215631015 (Entity type: Individual)
- **Enumerated:** March 28, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN11023166 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1061 HARMON AVE, Fort Stewart, GA 31314-5641
- **Phone:** (912) 435-6965
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** October 28, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1215631015) · Data from the CMS NPPES public registry.