Healthcare Provider Details

I. General information

NPI: 1780674762
Provider Name (Legal Business Name): HECTOR CABALLERO MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/21/2005
Last Update Date: 05/22/2025
Certification Date: 05/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3425 COLONNADE PKWY STE B
BIRMINGHAM AL
35243-2356
US

IV. Provider business mailing address

PO BOX 43706
BIRMINGHAM AL
35243-0706
US

V. Phone/Fax

Practice location:
  • Phone: 205-203-4501
  • Fax: 205-677-0840
Mailing address:
  • Phone: 205-203-4501
  • Fax: 205-677-0840

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number25521
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberMD38815
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: