Individual provider Active NPI

Maria Gabriela Delgado Caraballo, D.D.S.

  • Dentist
  • Gainesville, FL
National Provider Identifier
1003274002
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DTP630 Issued in FL
Practice address
1395 Center Dr RM D9-6
Gainesville, FL 32610-0415
Phone
(352) 273-5850
Fax
(352) 846-1643
NPI assigned
Feb 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DTP630 FL Primary

Addresses

Primary practice location

1395 Center Dr RM D9-6
Gainesville, FL 32610-0415

Mailing address

PO Box 100415
1395 Center Dr., RM. D9-6
Gainesville, FL 32610-0415
Phone (352) 273-5850

Other names 1

  • Mrs. Maria Gabriela Caraballo Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DTP630FLMDDentist

Networks

  • Freedom Health HMO Network

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454544000000",
    "number": "1003274002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100415",
            "address_2": "1395 CENTER DR., RM. D9-6",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100415",
            "telephone_number": "352-273-5850",
            "fax_number": "352-846-1643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 CENTER DR RM D9-6",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326100415",
            "telephone_number": "352-273-5850",
            "fax_number": "352-846-1643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGADO CARABALLO",
        "first_name": "MARIA",
        "middle_name": "GABRIELA",
        "name_prefix": "Mrs.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-04",
        "last_updated": "2016-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DTP630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "CARABALLO",
            "middle_name": "GABRIELA",
            "prefix": "MRS.",
            "credential": "D.D.S.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.