Maria Antonieta Carballosa, M.D

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME59149 Issued in FL

Practice address

4395 Palm Ave
Hialeah, FL 33012-4014

Phone

(305) 821-3944

Fax

(305) 821-4301

NPI assigned

May 12, 2006

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Maria a. Carballosa, M.D., P.a.

  • Pediatrics Physician
  • Hialeah, FL
  • NPI 1811399983
  NPD (past) Authorized official

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1366492845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4395 PALM AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124014",
            "telephone_number": "305-821-3944",
            "fax_number": "305-821-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4395 PALM AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330124014",
            "telephone_number": "305-821-3944",
            "fax_number": "305-821-4301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBALLOSA",
        "first_name": "MARIA",
        "middle_name": "ANTONIETA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-12",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME59149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "056791400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dayana Carballo
• Maibel Carballo
• Yusel Carballo
• Carballosa RBT LLC
• Isbeidis Carballosa Verdecia
• Melissa Carbo Cruz
• Elisa Carbonell Carmona
• Liset Caridad Carbonell Martinez
• Carlos Carbonell, APRN
• Chavely Carbonell

• Pediatrics Physician in Hialeah, FL
• Providers in Hialeah, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; 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.