Juan Miguel Carballo Rodriguez, RN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

965202 Issued in TX

Practice address

21454 Veneto Hills CT
Katy, TX 77449-0400

Phone

(832) 897-6008

NPI assigned

Dec 7, 2024

Last updated

Dec 7, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Clinica Medica Santa Teresa, LLC

  • Family Nurse Practitioner
  • Cypress, TX
  • NPI 1063133551
  NPD
• Imperium Group LLC

  dba Clinica Medica

  • Family Medicine Physician
  • Cypress, TX
  • NPI 1659730471
  NPD (past)

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

{
    "created_epoch": "1733529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733529600000",
    "number": "1104632850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18037 FM 529 RD STE C",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "77433",
            "telephone_number": "281-861-5180",
            "fax_number": "281-861-5928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21454 VENETO HILLS CT",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774490400",
            "telephone_number": "832-897-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBALLO RODRIGUEZ",
        "first_name": "JUAN",
        "middle_name": "MIGUEL",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-07",
        "last_updated": "2024-12-07",
        "certification_date": "2024-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "TX",
            "license": "965202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Carolina Cantu, LPA
• Dong Cao, L.AC
• Lien Cao, OTR
• Shaunna Caouette, NP
• Sierra Carathers, ABA
• Camila Cardenas
• Kacie Cardenas
• Kristi Tsokos Cardenas, COTA
• Shaelie Cardenas
• Cardiology Center of Houston PA

• Home Health Registered Nurse in Katy, TX
• Providers in Katy, TX by specialty
• Home Health Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2024; 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.