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DR. MARIA ANTONIETA CARBALLOSA M.D NPI 1366492845


NPI Information

NPI: 1366492845
Provider Name: DR. MARIA ANTONIETA CARBALLOSA, M.D
Classification: Specialist - 174400000X
Entity Type: Individual

CLIA Number: 10D0928616

Address:
4395 PALM AVE
HIALEAH, FL
ZIP 33012
Phone: (305) 821-3944
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DR. Maria Antonieta Carballosa, M.D is a specialist in Hialeah, FL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Maria Antonieta Carballosa, M.D NPI is 1366492845. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4395 PALM AVE
HIALEAH, FL
ZIP 33012-014
Phone: (305) 821-3944
Fax: (305) 821-4301

The CLIA number assigned to this NPI record is 10D0928616 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/12/2006 and was last updated on 3/7/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistME0059149FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1056791400MEDICAIDFLORIDA
2F951596MEDICARE UPINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.