LILLIBETH CARABALLO-POLANCO M.D.
NPI 1790236065
Pediatrics - Neonatal-Perinatal Medicine in Jacksonville, FL

Q: What is Lillibeth Caraballo-polanco's NPI number?

The NPI number for Lillibeth Caraballo-polanco is 1790236065. It was assigned to this individual provider in the NPPES registry on October 20, 2016.

Q: What is Lillibeth Caraballo-polanco's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Active since October 20, 2016PECOS Enrolled

655 W 8TH ST, JACKSONVILLE, FL 32209(904) 244-4536 Get Directions Write a Review

NPPES record last updated: December 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 16, 2024, Jun 30, 2021, Oct 20, 2016 (3 updates tracked since 2016).

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About Lillibeth Caraballo-polanco M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LILLIBETH CARABALLO-POLANCO M.D. (NPI 1790236065) is an individual neonatal-perinatal medicine provider in Jacksonville, Florida, licensed in Florida (171007) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790236065

Entity TypeIndividualFemale

Primary Taxonomy2080N0001X

Provider Legal NameLILLIBETH CARABALLO-POLANCOCredential: M.D.

Location Address655 W 8TH STJacksonville, FL 32209-6511

Mailing AddressPo Box 44008Jacksonville, FL 32231-4008

Phone(904) 244-4536

Sole ProprietorNo

Enumeration DateOctober 20, 2016

Last NPPES UpdateDecember 16, 20243 updates tracked since enumeration

NPPES CertifiedDecember 16, 2024

✔ NPI 1790236065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in FL · 171007

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

655 W 8TH ST, Jacksonville, FL 32209

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lillibeth Caraballo-polanco M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

DR. MATTHEW DUWAIN WARRICK M.D.

Anesthesiology