Clarissa Irmina Carbo, ARNP

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

ARNP1227232 Issued in FL

Practice address

11760 SW 40 Street
Suite 654
Miami, FL 33175-8103

Phone

(786) 615-6123

Fax

(786) 615-6103

NPI assigned

Jul 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

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 and National Provider Directory roles.

• Otero Medical Centers Inc

  • Internal Medicine Physician
  • Miami, FL
  • NPI 1073758017
  Medicare reassignment NPD
• Birth Etc. Inc.

  • Advanced Practice Midwife
  • Miami, FL
  • NPI 1487150538
  NPD Authorized official
• Pavilion for Women'S Care LLC

  • Obstetrics & Gynecology Physician
  • Miami, FL
  • NPI 1811954340
  NPD (past)

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433721600000",
    "number": "1174549703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11760 SW 40TH ST",
            "address_2": "SUITE 654",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753582",
            "telephone_number": "786-615-6123",
            "fax_number": "786-615-6103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 SW 40 STREET",
            "address_2": "SUITE 654",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331758103",
            "telephone_number": "786-615-6123",
            "fax_number": "786-615-6103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBO",
        "first_name": "CLARISSA",
        "middle_name": "IRMINA",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2015-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "FL",
            "license": "ARNP1227232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "033814100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yamilis Carballo
• Betsy Carballosa Abreu
• Lilian R Carballosa
• Idalia Carballoso
• Nathan Carberry, MD
• Joel Ruben Carbo
• Carly Regina Carbone
• Diamelba Carbone
• Summer L Carbone, MD
• Lidice Carbonel, PTA

• Obstetrics & Gynecology Nurse Practitioner in Miami, FL
• Providers in Miami, FL by specialty
• Obstetrics & Gynecology Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.