Individual provider Active NPI

Yvette Carballosa-Hernandez, P.A.

  • Physician Assistant
  • South Miami, FL
National Provider Identifier
1447584826
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9105203 Issued in FL
Practice address
6141 Sunset Dr Ste 501
South Miami, FL 33143-5026
Phone
(305) 661-6615
Fax
(305) 661-6619
NPI assigned
Oct 1, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9105203 FL Primary

Addresses

Primary practice location

6141 Sunset Dr Ste 501
South Miami, FL 33143-5026

Mailing address

6141 Sunset Dr Ste 501
South Miami, FL 33143-5026
Phone (305) 661-6615

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091210000347 FL Practitioner - Physician Assistant 6507906211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Arthritis and Rheumatology Associates LLCGroup PAC ID 0840575007, 66 clinicians

Practice addresses (Care Compare)

20880 W Dixie Hwy
Suite 101
Aventura, FL 33180-1151
Phone (305) 682-1441

6141 Sunset Dr
South Miami, FL 33143-5026
Phone (305) 682-1441

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9105203FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Eloy Roman MD., P.a. Past Accepting new patients
Florida Arthritis & Rheumatology Associates, LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: yvette.hernandez.p62@direct.aara1.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1447584826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6141 SUNSET DR STE 501",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435026",
            "telephone_number": "305-661-6615",
            "fax_number": "305-661-6619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6141 SUNSET DR STE 501",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435026",
            "telephone_number": "305-661-6615",
            "fax_number": "305-661-6619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBALLOSA-HERNANDEZ",
        "first_name": "YVETTE",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-01",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9105203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

Verify at the official NPI Registry.