Active NPI
Dalian Yamill Caraballo, M.D.
- Family Medicine Physician
- Miami, FL
National Provider Identifier
1114259900
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME113655
- Practice address
- 11240 N Kendall Dr Ste 201
Miami, FL 33176-1108 - Phone
- (786) 530-7006
- Fax
- (844) 863-8737
- NPI assigned
- Feb 4, 2010
- Last updated
- Apr 26, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 57.016951 | OH | |
| Family Medicine Physician | 207Q00000X | ME113655 | FL | Primary |
Addresses
Primary practice location
11240 N Kendall Dr Ste 201
Miami, FL 33176-1108
Mailing address
11240 N Kendall Dr Ste 201
Miami, FL 33176-1108
Phone (786) 530-7006
Other practice location 1
1053 Belmont Ave
Youngstown, OH 44504-1007
Phone (330) 480-3605
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME113655 | FL | MD | Family Medicine Physician |
| 57.016951 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Youngstown Ohio Physician Services Company LLC | Family Medicine | Past | Accepting new patients |
| Youngstown Ohio Outpatient Services Company LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Urgent Care Clinic/Center
- Austintown, OH
- NPI 1174839484
-
- Internal Medicine Physician
- Youngstown, OH
- NPI 1013223312
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556236800000",
"number": "1114259900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11240 N KENDALL DR STE 201",
"city": "MIAMI",
"state": "FL",
"postal_code": "331761108",
"telephone_number": "786-530-7006",
"fax_number": "844-863-8737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11240 N KENDALL DR STE 201",
"city": "MIAMI",
"state": "FL",
"postal_code": "331761108",
"telephone_number": "786-530-7006",
"fax_number": "844-863-8737"
}
],
"practiceLocations": [
{
"address_1": "1053 Belmont Ave",
"address_purpose": "LOCATION",
"city": "Youngstown",
"state": "OH",
"postal_code": "445041007",
"country_code": "US",
"telephone_number": "330-480-3605",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARABALLO",
"first_name": "DALIAN",
"middle_name": "YAMILL",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-04",
"last_updated": "2019-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "57.016951",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME113655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.