Active NPI
Carlo Trabanco
- Dentist
- Coral Gables, FL
National Provider Identifier
1255024402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN29914
- Practice address
- 4011 W Flagler St Ste 506
Coral Gables, FL 33134-1643 - Phone
- (305) 643-1444
- Fax
- (305) 643-0447
- NPI assigned
- Jun 1, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN29914 | FL | Primary |
Addresses
Primary practice location
4011 W Flagler St Ste 506
Coral Gables, FL 33134-1643
Mailing address
11133 SW 36TH St
Miami, FL 33165-3556
Phone (305) 519-1014
Other practice location 1
9456 Harding Ave
Surfside, FL 33154-2804
Phone (305) 866-2626
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN29914 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758672000000",
"number": "1255024402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11133 SW 36TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331653556",
"telephone_number": "305-519-1014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4011 W FLAGLER ST STE 506",
"city": "CORAL GABLES",
"state": "FL",
"postal_code": "331341643",
"telephone_number": "305-643-1444",
"fax_number": "305-643-0447"
}
],
"practiceLocations": [
{
"address_1": "9456 Harding Ave",
"address_purpose": "LOCATION",
"city": "Surfside",
"state": "FL",
"postal_code": "331542804",
"country_code": "US",
"telephone_number": "305-866-2626",
"fax_number": "305-866-2204",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRABANCO",
"first_name": "CARLO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-01",
"last_updated": "2025-09-24",
"certification_date": "2025-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN29914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coral Gables, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.