Raul E. Carballosa and Associates, M.D's, P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME47929 Issued in FL

Legal business name

RAUL E. CARBALLOSA AND ASSOCIATES, M.D'S, P.A.

Practice address

11760 SW 40TH St
Suite 306
Miami, FL 33175-3582

Phone

(305) 227-7021

NPI assigned

Aug 30, 2012

Organization subpart

No

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

Authorized official

Name

Raul E Carballosa, MD

Title

President

Phone

(941) 391-4549

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346284800000",
    "number": "1225387798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10405 SW 25TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11760 SW 40TH ST",
            "address_2": "SUITE 306",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753582",
            "telephone_number": "305-227-7021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAUL E. CARBALLOSA AND ASSOCIATES, M.D'S, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-30",
        "last_updated": "2012-08-30",
        "status": "A",
        "authorized_official_last_name": "CARBALLOSA",
        "authorized_official_first_name": "RAUL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-391-4549",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME47929",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "053698900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Skarlet Raudal
• Amanda Raude
• Anila Rauf
• Asad Rauf, MD
• Raul del Castillo, DPM, PA
• Raul Falero MD LLC
• Raul I Vila MD & Associates PA
• Gabriela Maria Raurell, LMHC
• Douglas Kyle Rausch, DO
• Hitesh Raval, DO

• Specialist in Miami, FL
• Providers in Miami, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; 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.