Healthcare Provider Details

I. General information

NPI: 1649175746
Provider Name (Legal Business Name): DARAISHKA MARIE PEREZ CARABALLO RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

URB. TURABO GARDENS AVE 172 EXIT 21
CAGUAS PR
00726
US

IV. Provider business mailing address

URB. TURABO GARDENS AVE 172 EXIT 21
CAGUAS PR
00726
US

V. Phone/Fax

Practice location:
  • Phone: 787-337-4208
  • Fax:
Mailing address:
  • Phone: 787-337-4208
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number98092
License Number StatePR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: